溶脂抽脂术对乳腺癌手术保护肋间臂神经的探讨  

The effects of lipolysis and liposuction on intercostobrachial nerve protection during breast cancer operation

作　　者：冯铎[1] 陶霖玉[1] 何劲松[2] 徐菲[1] 齐柯[1] 林秋生[1] 陈天文[1] 李杏[1] 

机构地区：[1]广东医学院附属深圳市第六人民医院甲乳外科,广东深圳518052 [2]深圳大学附属第一医院甲乳外科,广东深圳518000

出　　处：《中国普通外科杂志》2011年第5期478-480,共3页China Journal of General Surgery

摘　　要：目的探讨利用腋下溶脂、抽脂术对乳腺癌开放性手术中保护肋间臂神经的效果。方法对比乳腺癌改良根治手术中先采用溶脂、抽脂术观察组(29例)和未采用溶脂、抽脂术对照组(31例)对肋间臂神经损伤的发生情况,评估两者预防肋间臂神经损伤的效果。结果观察组中1例在溶脂过程中直接损伤肋间臂神经,1例溶脂不理想,致手术时误断肋间臂神经;对照组中8例误伤肋间臂神经。结论在开放性乳腺癌手术中先行溶脂、抽脂术以行保护肋间臂神经是可行的、有效的,如术者能在熟练掌握该技术。Objective To investigate the protective effect of lipolysis and liposuction on intercostobrachial nerve（ICBN） during breast cancer open surgery.Methods The incidences of ICBN injury between observation group including 29 patients with lipolysis and liposuction and control group consisting 31 patients without lipolysis and liposuction were compared.Results In observation group,one patient′s ICBN was directly injuried during lipolysis,and one patient′s ICBN was injuried due to unsatisfactory lipolysis during open surgery.In control group,ICBN injury was found in 8 cases.Conclusions It is feasible and effctive to perform lipolysis and liposuction first for protecting ICBN during open surgery of breast cancer,if the operator can proficienctly perform the procedure.

关 键 词：乳腺肿瘤/外科学 溶脂抽脂术 肋间臂神经 

分 类 号：R737.9[医药卫生—肿瘤]