保留肋间臂神经与胸前神经的乳腺癌改良根治术对患者疼痛程度及上肢功能的影响  

Effects of modified radical mastectomywithpreservation of intercostobrachial nerve and anteriorthoracic nerveonpain and upper limb function in patients with breast cancer

作　　者：朱会利[1] Zhu Huili(Handan Integrated Hospital of Traditional Chinese and Western Medicine,Handan,Hebei 056000,China)

机构地区：[1]河北省邯郸市中西医结合医院,河北邯郸056000

出　　处：《首都食品与医药》2022年第22期43-45,共3页Capital Food Medicine

摘　　要：目的 探讨乳腺癌改良根治术中保留肋间臂神经(ICBN)与胸前神经(ATN)对患者疼痛程度和上肢功能的影响.方法 纳入河北省邯郸市中西医结合医院收治的行乳腺癌改良根治术治疗的106例乳腺癌患者为观察对象,时间为2019年3月-2021年3月,随机分成两组,每组53例.两组均采用乳腺癌改良根治术治疗,观察组保留ICBN与ATN,对照组则不保留.比较两组视觉模拟评分法(VAS)评分和上肢功能.结果 术后3个月,两组上肢活动度均小于术前,但观察组明显大于对照组,差异显著(P<0.05).术后1、3个月,观察组的VAS评分均低于对照组,差异显著(P<0.05).结论 保留ICBN与ATN的乳腺癌改良根治术,治疗效果显著.Object ive To investigate the effect of modified radical mastectomy with intercostal brachial nerve(ICBN)and anterior thoracic nerve(ATN)preservation on the pain and upper limb function of patients with breast cancer.Methods 106 patients with breast cancer treated by modified radical mastectomy in our hospital were randomly divided into 2 groups,53 cases in each group,from March 2019 to March 2021.Both groups were treated with modified radical mastectomy for breast cancer.ICBN and ATN were retained in the observation group,but not in the control group.The visual analogue scale(VAS)and upper limb functions were compared between the two groups.Results Three months after operation,the upper limb mobility of the two groups was lower than that before operation,but that of the observation group was significantly higher than that of the control group(P<0.05).At 1 and 3 months after operation,the VAS scores of the observation group were significantly lower than those of the control group(P<0.05).Conc lusion The modified radical mastectomy with ICBN and ATN preserved is effective in the treatment of breast cancer.

关 键 词：胸前神经 肋间臂神经 乳腺癌改良根治术 上肢功能 疼痛评分 

分 类 号：R737.9[医药卫生—肿瘤]