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目的:探讨乳腺癌腋淋巴结清除术中保留肋间臂神经的临床意义。方法:2001～2006年在46例Ⅰ、Ⅱ期乳腺癌的淋巴结清扫术中施行保留肋间臂神经,其中完整保留肋间臂神经32例,切除肋间臂神经14例,术后对病人进行观察并随访。结果:保留肋间臂神经32例中术后患侧上臂内侧及腋部皮肤感觉正常30例(93.8%),感觉异常3例(6.2%);而切除肋间臂神经的14例病人均有感觉异常。随访1～5年,46例均未见局部复发。结论:在Ⅰ、Ⅱ期乳腺癌的淋巴结清扫术中施行保留肋间臂神经是可行的,它保存了患侧上臂内侧及腋部皮肤感觉功能,有利于改善病人术后的生活质量,具有良好的临床应用价值。
Objective: To investigate the clinical significance of preserving intercostobrachial nerve in axillary lymph node dissection of breast cancer. Methods: Between 2001 and 2006, 46 patients with stage Ⅰ and Ⅱ breast cancer underwent lymphadenectomy. 32 cases of intercostobrachial nerves were reserved and 14 cases of intercostobrachial nerve were excised. The patients were followed up Observation and follow-up. Results: Thirty patients (93.8%) had sensory abnormalities in the medial upper arm and the axillary skin in 32 patients with intercostobrachial nerves, and 3 patients (6.2%) had sensory abnormalities. All 14 patients who had intercostobrachial nerve had feeling abnormal. Follow-up 1-5 years, 46 cases were no local recurrence. CONCLUSIONS: It is feasible to preserve the intercostobrachial nerve in lymphadenectomy of stage Ⅰ and Ⅱ breast cancer. It preserves the skin sensory function of the medial and axillary upper limbs and improves the postoperative quality of life of patients with good The clinical value.