术中保留胸前与肋间臂神经对早期乳腺癌手术患者术后并发症和生活质量的影响  

Effect of preservation of anterior thoracic and intercostobrachial nerves on postoperative complications and quality of life in patients with early breast cancer

作　　者：李安[1] LI An(Shenyang Fourth People's Hospital,department of Breast Surgery,Shenyang 110000,China)

机构地区：[1]沈阳市第四人民医院乳腺外科

出　　处：《中国实用医药》2019年第35期15-17,共3页China Practical Medicine

摘　　要：目的探讨乳腺癌改良根治术中保留胸前与肋间臂神经对早期乳腺癌手术患者术后并发症和生活质量的影响。方法 88例早期乳腺癌患者,采用随机数字表法分为常规组和研究组,各44例。两组患者均行乳腺癌改良根治术治疗,常规组患者术中不保留胸前与肋间臂神经,研究组术中保留胸前与肋间臂神经。比较两组并发症发生情况及术后生活质量评分。结果研究组患者并发症发生率6.82%(3/44)显著低于常规组的54.55%(24/44),差异具有统计学意义(P<0.05)。两组患者术后6个月的躯体功能、生命健康、社会功能和综合情况评分明显高于本组术前,差异均有统计学意义(P<0.05);研究组术后6个月的躯体功能、生命健康、社会功能和综合情况评分分别为(22.31±2.15)、(21.68±2.67)、(21.62±2.15)、(22.72±1.67)分,均明显高于常规组的(18.91±3.01)、(18.26±2.95)、(18.64±3.41)、(18.14±2.23)分,差异均有统计学意义(P<0.05)。结论早期乳腺癌改良根治术中保留胸前与肋间臂神经,能够显著降低术后并发症发生率,提高患者生活质量,值得推广及应用。Objective To discuss the effect of preservation of anterior thoracic and intercostobrachial nerves on postoperative complications and quality of life in patients with early breast cancer. Methods A total of 88 patients with early breast cancer were divided by random number table method into conventional group and research group, with 44 cases in each group. Both groups were treated by modified radical mastectomy. The anterior thoracic and intercostobrachial nerves were not preserved in the conventional group, while the anterior thoracic and intercostobrachial nerves were preserved in the research group. The occurrence of complications and quality of life after operation was compared between the two groups. Results The incidence of complications was 6.82%(3/44) in the research group, which was significantly lower than 54.55%(24/44) in the conventional group, and their difference was statistically significant(P<0.05). At 6 months after operation, the physical function, life health, social function and overall score in the two groups was obviously higher than those before operation, and their difference was statistically significant(P<0.05). At 6 months after operation, the physical function, life health, social function and overall score were(22.31±2.15),(21.68±2.67),(21.62±2.15) and(22.72±1.67) points respectively in the research group, which was obviously higher than(18.91±3.01),(18.26±2.95),(18.64±3.41) and(18.14±2.23) points in the conventional group, and their difference was statistically significant(P<0.05). Conclusion Preservation of anterior thoracic and intercostobrachial nerves during modified radical mastectomy can significantly lower the incidence of postoperative complications and improve the quality of life. It is worthy of promotion and application.

关 键 词：胸前神经 肋间臂神经 早期乳腺癌 术后并发症 

分 类 号：R73[医药卫生—肿瘤]