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目的探讨乳腺癌手术保留肋间臂神经及胸前神经的临床效果及意义。方法将我院收治的80例乳腺癌患者中成功保留肋间臂神经及胸前神经68例,未保留肋间臂神经12例未保留胸前神经7例,进行对照比较他们的治疗效果及不良反应发生情况。结果乳腺癌改良根治术患者施行保留ATN及ICBN(68例成功),取得了良好的效果,差异有统计学意义(P<0.01)。结论保留肋间臂神经及胸前神经不仅大大减小术后不良反应的发生且能保证淋巴结清扫的完整不会增加肿瘤的复发的危险性,是可行的,值得临床推广应用。
Objective To investigate the clinical effect and significance of preserving intercostobrachial nerve and anterior chest nerve in breast cancer surgery. Methods 80 cases of breast cancer patients admitted to our hospital successfully retained 68 cases of intercostobrachial nerve and chest anterior nerve, not retained intercostobrachial nerve in 12 cases without preserving the chest nerve in 7 cases compared to compare their treatment and adverse effects Reaction occurred. Results Modified radical mastectomy patients with retained ATN and ICBN (68 cases of success), and achieved good results, the difference was statistically significant (P <0.01). CONCLUSION: The preservation of the intercostobrachial nerve and the anterior thoracic nerve not only greatly reduces the occurrence of postoperative adverse reactions, but also ensures that the complete lymph node dissection does not increase the risk of recurrence of the tumor, which is feasible and worthy of clinical application.