摘要
目的:探讨改良乳腺癌根治术保留肋间臂神经的方法及临床意义。方法:选择Ⅰ、Ⅱ期乳腺癌患者82例,随机分成两组:A组(试验组)49例,经胸大肌入路清扫腋淋巴结,保留肋间臂神经;B组(对照组)33例,经胸大肌入路清扫腋淋巴结,切除肋间臂神经。观察随访两组术后情况。结果:A组49例中腋窝及上臂内侧皮肤感觉正常45例(91.8%),感觉障碍4例(8.2%);B组感觉障碍31例(93.9%)。两组比较,有显著差异(χ2=59.30,P<0.01)。结论:保留肋间臂神经的改良乳腺癌根治术能够有效地防止患侧腋窝及上肢皮肤感觉障碍的发生率。
Objectlve：To investigate the methods and clinical significance of preserving intercostobrachial nerve [ IBN ] in modified radical mastectomy for breast cancer. Methods ： Eighty - two patients suffering from breast cancer in stage Ⅰ and Ⅱ were randomly divided into 2 groups. Transpectoral anterior approach was used on patients in group A（ n = 49 ）,with axillary lymph node dissection, preservation of IBN. Patients in group B （n = 33 ） were operated through tranopectoral poserior approach sections of IBN. Results： among the 49 patients in group A, 45 patients （91.8%）had normal sensation of the skin of upper medial arm and axilla, paresthesia occurred in only 4 patients （ 8.2% ） ; In group B,31 patients （93.9%） had paresthesia （ X^2 = 59.30,P 〈 0.01 ）. Conclusion. IBN preserving modified radical mastectomy decreases greatly the incidence of sensory disturbance of the axilla and arm.
出处
《现代肿瘤医学》
CAS
2006年第10期1221-1222,共2页
Journal of Modern Oncology
关键词
乳腺癌
肋间臂神经
改良根治术
腋淋巴结清扫
breast carcinoma
intercostobrachial nerve
modified radical mastetomy
axillary lymph node dissection
