保留肋间臂神经的乳腺癌改良根治术36例分析  

The reporter of 36 cases about preserving intercostobrachial nerve in modified radical mastectomy

作　　者：张超[1] 宋文华[1] 邹杰[1] 王宜轩[1] 

机构地区：[1]蚌埠医学院第二附属医院普外科,蚌埠233040

出　　处：《中国肿瘤临床与康复》2013年第7期747-749,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨乳腺癌改良根治术中保留肋间臂神经(ICBN)的临床意义。方法对76例确诊为乳腺癌的女性患者行乳腺癌改良根治术,手术分为两组:观察组36例,术中完整保留ICBN;对照组40例,均切除ICBN。术后随访1～36个月,观察患侧上臂内侧及腋窝部皮肤感觉变化以及肿瘤有无局部复发和远处转移。结果两组患者手术用时无明显差异,3年内两组患者均无肿瘤局部复发和远处转移。观察组患者的上臂后内侧感觉异常和疼痛等不适主诉发生率较对照组明显降低,差异有统计学意义(P<0.01)。结论保留ICBN能有效降低患者上臂内侧及腋窝皮肤感觉功能障碍,提高患者术后生活质量,且并不明显延长手术时间,不增加术后肿瘤复发率,具有很高的临床应用价值。Objective To investigate the clinical significance of reserving intercostobrachial nerve（ICBN）during the modified radical mastectomy.Methods 76 breast cancer cases were underwent modified radical mastectomy.36 cases of preserving ICBN were divided into observation group and 40 cases of not preserving ICBN were as control group.All the cases were followed up for 1 to 36 months postoperative.This study compared kinds of date between the two groups,including the operation time,the morbidity of upper arm and axillary fossa sensory disturbance,the rate of local tumor recurrence and distant metastasis.Results Few in observation group had abnormal sensation on the skin of medial upper arm and axillary fossa after operation,which was significantly different from the cases of the control group（P0.01）.There were not local recurrence and metabasis in any patients during the follow up period.Conclusions Preserving ICBN may significantly decrease the postoperative morbidity of upper arm and axillary fossa sensory disturbance in radical mastectomy for breast cancer,improve the quality of life,and didn,t affect the therapeutic effect of operation.This shows it has high clinical value.

关 键 词：肋间臂神经 乳腺肿瘤 改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]