乳腺癌改良根治术中保留肋间臂神经的临床疗效分析  

Analysis of Clinical Curative Effect of Preserving Intercostobrachial Nerve in Modified Radical Mastectomy

作　　者：刘军[1] 

机构地区：[1]齐齐哈尔市第一医院乳腺科,哈尔滨齐齐哈尔161000

出　　处：《中外医疗》2016年第14期127-128,共2页China & Foreign Medical Treatment

摘　　要：目的探讨乳腺癌改良根治术中保留肋间神经的临床效果及可行性。方法整群选取该院2011年1月—2015年6月收治的116例Ⅰ、Ⅱ期乳腺癌女性患者分为两组,保留组74例患者术中保留肋间神经,切除组42例患者切除肋间神经,分析比较两组患者手术时间、住院天数、术中出血量、清除病灶数及术后感觉障碍发生率等情况。结果两组患者手术时间、住院天数、术中出血量及清除病灶数之间差异无统计学意义(P>0.05);保留组术后感觉障碍(16.22%)显著少于切除组(47.62%),差异有统计学意义(P<0.05)。结论乳腺癌改良根治术中保留肋间神经能够保证良好临床疗效,减少术后感觉障碍发生,提高了患者生存质量,值得推广。保留组(16.22%)术后感觉障碍显著少于切除组(47.62%)Objective To discuss the clinical effect and feasibility of preserving intercostobrachial nerve in modified radical mastectomy. Methods 116 cases of female patients with breast cancer of stageⅠand Ⅱtreated in our hospital from January2011 to June 2015 were divided into two groups, the preserving group（74 cases） preserved intercostobrachial nerve in operation, the removal group（42 cases） removed intercostobrachial nerve, and the operation time, length of stay, intraoperative blood loss, removing lesion number, incidence rate of postoperative sensory disturbance and other conditions of the two groups were analyzed and compared. Results The differences in the operation time, length of stay, intraoperative blood loss and removing lesion number between the two groups had no statistical significance, P〉0.05; the incidence rate of postoperative sensory disturbance in the preserving group was obviously fewer than that in the removal group with statistical significance（16.22% vs 47.62%）, P〈0.05. Conclusion Preserving intercostobrachial nerve in modified radical mastectomy can ensure a good clinical curative effect, reduce the occurrence of postoperative sensory disturbance and improve the survival quality of patients, which is worth promotion.

关 键 词：乳腺癌 肋间神经 改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]