论文部分内容阅读
目的探讨乳腺癌改良根治术中保留肋间臂神经(ICBN)的临床效果。方法笔者所在医院2005年3月至2009年3月期间行乳腺癌改良根治术54例,其中保留ICBN 39例,未能保留者15例,术后严密追踪观察。结果保留ICBN和未能保留ICBN患者术后1个月皮肤感觉异常者分别为5例(12.8%)和13例(86.7%),两者差异有统计学意义(P<0.01);保留ICBN感觉异常者均在术后2～3个月内恢复正常,未保留ICBN感觉异常者3个月后症状稍有改善,有7例6个月后仍未恢复。全部病例均获随访,随访时间6～36个月,平均22个月,无复发。结论保留ICBN能减少乳腺癌患者术后上肢感觉障碍的发生,提高其生活质量。
Objective To investigate the clinical effect of preserving intercostobrachial nerve (ICBN) in radical mastectomy of breast cancer. Methods The author’s hospital from March 2005 to March 2009 were performed radical mastectomy in 54 cases, of which 39 cases were reserved ICBN, 15 cases were not retained, followed up closely. Results There were 5 cases (12.8%) and 13 cases (86.7%) of patients with ICBN and ICBN after 1 month postoperatively, respectively. The difference was statistically significant (P <0.01) Abnormalities were returned to normal within 2 to 3 months after surgery. Patients who did not retain ICBN sensory abnormalities showed slight improvement after 3 months, and 7 cases did not recover after 6 months. All patients were followed up for 6 to 36 months with an average of 22 months without recurrence. CONCLUSION: Preserving ICBN can reduce the occurrence of postoperative upper limb sensory disturbance in breast cancer patients and improve their quality of life.