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目的:探讨腔镜腋窝淋巴结清扫术保留肋间臂神经治疗乳腺癌的临床意义。方法:收集2012年5月至2014年5月来我院就诊的乳腺癌患者240例,随机分为试验组和对照组,各120例。两组患者均采取腔镜腋窝淋巴结清扫术,试验组术中密切注意肋间臂神经(ICBN)走行并保留,对照组不保留。术后密切随访,观察两组患者腋窝及上臂区域感觉异常,治疗效果及复发率。结果:试验组腋窝及上臂感觉异常低于对照组,有效率高于对照组,经卡方检验,差异有统计学意义(P<0.05);两组复发率相近,经卡方检验,无统计学意义(P>0.05)。结论:腔镜腋窝淋巴结清扫术保留ICBN治疗乳腺癌具有良好疗效,并避免腋窝及上臂区域感觉异常的发生。
Objective: To explore the clinical significance of laparoscopic axillary lymph node dissection for preserving intercostobrachial nerve in the treatment of breast cancer. Methods: A total of 240 breast cancer patients who came to our hospital from May 2012 to May 2014 were randomly divided into experimental group and control group, each with 120 cases. Both groups were taken laparoscopic axillary lymph node dissection, the experimental group pay close attention to intercostobrachial nerve (ICBN) walking and retained, the control group does not retain. Close follow-up was performed to observe the sensory abnormalities in the axilla and upper arm area, the therapeutic effect and recurrence rate in both groups. Results: The sensory abnormality of armpit and upper arm in the experimental group was lower than that of the control group, and the effective rate was higher than that of the control group. There was significant difference (P <0.05) by chi-square test. The recurrence rate was similar in both groups. Significance (P> 0.05). Conclusions: Endoscopic axillary lymph node dissection preserving ICBN has a good curative effect on breast cancer and avoids the occurrence of sensory abnormalities in armpit and upper arm region.