论文部分内容阅读
目的:探讨乳腺癌手术中保留肋间臂神经及胸内侧神经的临床意义。方法:39例乳腺癌根治术有目的地保护肋间臂神经及胸内侧神经,保留肋间臂神经33例,保留胸内侧神经34例。结果:保留肋间臂神经33例中无任何感觉异常31例,有局部感觉异常的2例,在术后3个月内基本恢复如常;保留胸内侧神经共34例中均未见有明显的胸肌萎缩;而未保留肋间臂神经的6人均出现不同程度的皮肤感觉异常,在一年内均未完全恢复;未保留胸内侧神经的5例在半年中有4例出现明显的胸肌萎缩。39例患者均未发现有局部复发。结论:在乳腺癌淋巴结清除术中,保留肋间臂神经与胸内侧神经是可行的,能有效地保全患者局部的感觉功能以及防止胸肌的萎缩,有利于提高患者术后生活质量。
Objective: To investigate the clinical significance of preserving intercostobrachial nerve and intrathoracic nerve in breast cancer surgery. Methods: Thirty-nine cases of radical mastectomy for breast cancer protected the intercostobrachial nerves and the medial thoracic nerves in a targeted way. 33 cases of intercostobrachial nerves were retained and 34 cases of medial thoracic nerves were reserved. Results: There were 31 cases with no sensory abnormalities in the 33 cases of intercostobrachial nerve and 2 cases with local sensory abnormalities. The cases remained normal within 3 months after operation. There were no obvious Chest muscle atrophy; but did not retain the intercostobrachial nerve of six people showed varying degrees of skin sensory abnormalities within a year did not fully recover; did not retain the thoracic nerve in 5 cases in six months in 4 cases showed significant chest muscle atrophy. None of the 39 patients had a local recurrence. Conclusion: It is feasible to preserve intercostobrachial nerve and intrathoracic nerve in lymph node dissection of breast cancer. It can effectively preserve local sensory function and prevent the atrophy of pectoral muscle, which is beneficial to improve postoperative quality of life.