乳腺癌术中保留肋间臂神经的可行性研究  

Feasibility of preserving intercostobrachial nerve during dissection for breast carcinoma

作　　者：张少波[1] 何谦[1] 郑晓宏[1] 刘朝辉[1] 张诚华[1] 

机构地区：[1]解放军第180医院普外科,福建泉州362000

出　　处：《临床军医杂志》2014年第7期694-696,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨乳腺癌根治术中保留肋间臂神经（ICBN）的可行性。方法行乳腺癌根治术患者134例，其中70例行保留ICBN的乳腺癌根治术（保留组），64例行切除ICBN的乳腺癌根治术（切除组），分析两组患者术后的局部复发及感觉障碍情况。结果保留组术后1—24个月局部感觉障碍发生率为12．85％（9／70）～2．85％（2／70）明显低于对照组的70．31％（45／64）-50．00％（32／64），差异有统计学意义（P〈0．05）；两组术后局部复发率分别为0％-2．85％（2／70）和0％～3．13％（2／64），差异无统计学意义（P〉0．05）。结论保留ICBN的乳腺癌根治术是安全可行的。Objective To explore the feasibility of preserving intercostobrachial nerve （ICBN） during operation for breast carcino- ma. Methods A total of 134 cases of breast cancer were randomly divided into ICBN preservation group（ n = 70） treated with resection of breast cancer with preservation of ICBN, and ICBN resection group （ n = 64） treated with routine resection of breast cancer. Lo- cal recurrence and sensory dysfunction were analyzed and compared between the two groups. Results The local sensory disturbance [ 12.85% （9/70） -2.85% （2/70） ] of the preservation group was significantly lower than that [70.31% （45/64） -50.00% （32/ 64） ] of the resection group （ P 〈 0.05 ）. But there was no significant difference in the rate of postoperative local recurrence [ 0 - 2.85% （2/70） vs. 0 - 3.13% （2/64） ] between the two groups （P 〉 0.05）. Conclusion Radical resection of breast cancer with preservation of ICBN is safe and feasible.

关 键 词：乳腺肿瘤 乳腺癌根治术 肋间神经 

分 类 号：R737.9[医药卫生—肿瘤]