摘要
目的探讨保留肋间臂神经(ICBN)在乳腺癌腋淋巴结清扫术中的可行性及临床应用价值。方法76例乳腺癌患者在行腋淋巴结清扫时,游离并保留腋下脂肪组织中的ICBN,术后测试患侧上臂内后侧的感觉功能变化。结果术后上臂内后侧感觉异常发生率为5.26%(4/76),2周后症状消失,经1～6个月随访均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留ICBN,可明显减少乳房切除术后疼痛综合征(PMPS)的发生率,有利于改善患者术后的生存质量,具有一定的临床应用价值。
Objective To investigate the possibility and clinical significance of reserving intercostobraehial nerve （ICBN） during the modified radical masteetomy. Methods 76 eases of breast carcinoma were treated by the modified radical masteetomy. The intereostobrachial nerves were saved in lymph node dissection. After operation, the sensation of ill side＇s upper arm was observed. Results 5.26% patients had abnormal sensation on the skin of medial upper arms after operation, and the symptoms disappeared 2 weeks later. No recurrence was found during 1 to 6-month follow-up. Conclusion Reserving ICBN in axillary lymph node dissection for the patients with breast cancer, which has certain clinical values, ean obviously reduee the incidence of pain syndrome and improve the life quality of the patients after operations.
出处
《白求恩军医学院学报》
2009年第4期207-208,共2页
Journal of Bethune Military Medical College
关键词
乳腺癌
肋间臂神经
腋窝淋巴结清扫
Breast carcinoma
Intereostobraehial nerve
Axillary lymph node disseetion
