保留胸前神经和肋间臂神经手术方法的临床疗效及对并发症的影响研究  

Clinical Efficacy of Surgical Methods of Preserving Anterior Thoracic Nerve and Intercostal Brachial Nerve and Its Influence on Complications

作　　者：刘金元 成连江 LIU Jinyuan;CHENG Lianjiang(Yishui County People's Hospital,Linyi,Shandong Province,276400 China)

机构地区：[1]沂水县人民医院,山东临沂276400

出　　处：《系统医学》2022年第14期67-70,共4页Systems Medicine

摘　　要：目的 探究保留胸前神经和肋间臂神经手术方法的临床疗效及对并发症的影响。方法 以2018年5月—2019年5月沂水县人民医院收治的乳腺癌患者50例进行研究,根据患者意愿分为参照组、研究组,各25例。参照组应用传统手术,给予研究组保留胸前神经和肋间臂神经手术治疗,对比两组患者术中出血量、手术时间、住院天数、并发症发生率、生活质量评分、远期疗效。结果 研究组术中出血量(94.84±6.98)mL、手术时间(110.48±15.56)min与住院时间(10.28±3.17)d优于参照组,差异有统计学意义(t=13.566、8.295、6.564,P<0.05);研究组并发症发生率4.00%低于参照组32.00%,差异有统计学意义(χ^(2)=4.878,P<0.05);研究组患者术后生活质量评分(86.51±6.34)分均优于参照组,差异有统计学意义(t=7.105,P<0.05)。研究组与对照组的5年生存率、局部复发率和远处转移率比较,差异无统计学意义(P>0.05)。结论 乳腺癌患者实施保留胸前神经和肋间臂神经手术治疗具有显著应用价值,不仅有助于减少术中出血量,缩短治疗时间,还可有效预防并发症,促使生活质量提高,且不会增加局部复发率与远处转移率。Objective To explore the clinical effects of surgical methods for preserving the anterior thoracic nerve and intercostal brachial nerve and its influence on complications.Methods A study was conducted on 50 breast cancer patients admitted to Yishui County People’s Hospital from May 2018 to May 2019.According to the patients’ wishes,they were divided into a reference group and a research group with 25 cases each.The control group was treated with traditional surgery,and the study group was given surgical treatment to preserve the anterior thoracic nerve and intercostal brachial nerve.The intraoperative blood loss,operation time,length of hospital stay,complication rate,quality of life score,and long-term efficacy were compared between the two groups.Results The intraoperative blood loss(94.84±6.98) mL,operation time(110.48±15.56) min and discharge time(10.28±3.17) d in the study group were better than those in the reference group,the difference was statistically significant(t=13.566,8.295,6.564,P<0.05).The incidence of complications in the study group was 4.00% lower than that in the reference group 32.00%,the difference was statistically significant(χ^(2)=4.878,P<0.05).The postoperative quality of life score of the patients in the study group(86.51±6.34) points was better than that in the reference group,the difference was statistically significant(t=7.105,P<0.05).The 5-year survival rate,local recurrence rate and distant metastasis rate were compared between the study group and the control group,the difference was not statistically significant(P>0.05).Conclusion Preserving the anterior thoracic nerve and intercostal brachial nerve in breast cancer patients has significant application value,which not only helps to reduce the amount of intraoperative blood loss and shorten the treatment time,it can also effectively prevent complications and improve the quality of life without increasing the rate of local recurrence and distant metastasis.

关 键 词：乳腺癌 保留胸前神经和肋间臂神经手术 并发症 远处转移 

分 类 号：R737.9[医药卫生—肿瘤]