乳腺癌手术中保留肋间臂神经与术后感觉异常的关系  

The Relationship between Reserving Intercostobrachial Nerve(ICBN)and Postoperative Paresthesia on Breast Carcinoma Surgery Patients

作　　者：王岩[1] 周军[1] 王学彩[1] 王昭昕[1] 高希涛[1] 

机构地区：[1]江苏省连云港市第一人民医院普外科,222002

出　　处：《医学理论与实践》2013年第11期1413-1414,共2页The Journal of Medical Theory and Practice

摘　　要：目的:评价乳腺癌手术中保留肋间臂神经(ICBN)与术后感觉异常的关系。方法:110例Ⅰ、Ⅱ期乳腺癌手术患者,术中保留ICBN 58例(A组),未保留ICBN 52例(B组),对两组患者术后进行随访观察。结果:两组患者术后上臂感觉异常发生率分别为22.4%和69.2%,其中疼痛发生率分别为12.1%和30.8%,差异有统计学意义(P<0.05)。结论:Ⅰ、Ⅱ期乳腺癌手术中保留肋间臂神经可明显减少术后感觉异常的发生。To estimate the relationship between reserving intercostobraehial nerve （ICBN） and postopera- tive paresthesia on breast carcinoma surgery patients. Methods： A total of 110 cases with Ⅰ and Ⅱ stage breast carcino- ma were divided into two groups. The ICBN was reserved in 58 cases （group A） , and not in 59, eases （group B）, then we observed and followed up all patients. Results. The postoperative morbidity of arm sensory disturbance in two groups was 22. 4% and 69. 2% respectively, in which the incidence of pain was 12. 1% and 30. 8%, with statistical difference in them（P〈0. 05）. Conclusion. In Ⅰ and Ⅱ stage breast carcinoma surgery patients reserving intercostobrachial nerve can significantly reduce the incidence of postoperative paresthesia,

关 键 词：肋间臂神经 乳腺癌 感觉异常 

分 类 号：R737.33[医药卫生—肿瘤]