期刊文献+

保留肋间臂神经在乳腺癌腋窝淋巴结清扫术中的意义 被引量:6

Clinical value of preservation of the intercostobrachial nerve during axillary node dissection for breast cancer
下载PDF
导出
摘要 目的:探讨保留肋间臂神经在早期乳腺癌腋窝淋巴结清扫术中的可行性及临床应用价值。方法:70例Ⅰ、Ⅱ期乳腺癌行腋窝淋巴结清扫术病人被分为两组,其中肋间臂神经保留组32例,肋间臂神经切除组38例。术后对病人上臂内侧感觉功能进行对比分析。结果:保留肋间臂神经与不保留肋间臂神经两组患者术后2周时,切除ICBN者36例均有上臂内侧和腋部皮肤麻木,其中12例有持续疼痛;而32例保留ICBN者中仅4例产生麻木,2例疼痛。结论:在早期乳腺癌(Ⅰ、Ⅱ期)改良根治术中施行保留肋间臂神经是可行的,它保存了患侧上臂内侧及腋部皮肤感觉功能,改善病人的生活质量,具有一定临床价值。 Objective: To study the feasibility and benefit of preserving intercostobrachial nerve (ICBN) during axillary lymph node dissection (ALND) for breast carcinoma. Methods: Seventy cases with stage Ⅰ-Ⅱ breast carcinoma during ALND were divided into two groups. Of them, ICBN was preserved in 32 eases, and severed in 38 cases. All patients were followed up. Results: Thirty six cases with ICBN severed group had pain or paresthesia of the skin of the upper medial arm and axilla after two weeks postoperation. And in ICBN preservation group, paresthesia occurred only in 4 cases and pain in 3 cases. No local recurrence was found during 1 to 5 year follow-up period. Conclusion: It is feasible to preserve ICBN during ALND for stage Ⅰ-Ⅱ breast carcinoma. Preservation of ICBN improves patient' s sensory deficit and quality of life.
出处 《新疆医科大学学报》 CAS 2009年第7期842-844,共3页 Journal of Xinjiang Medical University
关键词 乳腺癌 腋窝淋巴结清扫术 肋间臂神经 breast carcinoma axillary lymph node dissection intercostobrachial nerve
  • 相关文献

参考文献7

二级参考文献25

  • 1张斌.乳腺癌手术中医源性损伤的防治[J].中国实用外科杂志,1996,16(8):464-465. 被引量:15
  • 2张仲钦 马智.临床解剖学彩色图谱[M].天津:天津科学技术出版社,1998.105.
  • 3[2]Paredes JP,puente JL,Potel J.Variations in sensitivity after sectioning the intercosbrachial nerve.Am J Surg,1990,160(5):525
  • 4[3]Abdullah TI,Iddon J,Barr L,et al.Prospective randomized controlled trial of preservation the intercostobrachial nerve during axillary node clearance for breast cancer.Br J Surg,1998,85(10):1443
  • 5[4]Salmon RJ,Ansquer Y,Asselain B.Preservation versus section of intercostal-brachial nerve(IBN in axillary dissection for breast cancer:A prospective randomized trial.Eur J Surg Oncol,1998,24(3):158
  • 6[5]Temple WJ,Ketcham AS.Preservation of the intercostobrachial nerve during axillary dissection for breast cancer.Am J Surg,1985,150(5):585
  • 7[1]Van Dam MS,Hennipman A,De Kruif JT,et al.Complications following axillary dissection for breast carcinoma.Ned Tijdschr Geneeskd,1993,137(46):2395
  • 8[1]Bratschi HU, Haller U. Significance of the intercostobrachial nerve in axillary lymph node excision. Geburtshilfe Frauenheilkd , 1990, 50 (9) :689 ~ 693
  • 9[5]Roses DF, Brooks AD, Harris MN, et al . Complications of level I and Ⅱ axillary dissection in the treatment of carcinoma of the breast . Ann Surg, 1999,230(2): 194 ~ 201.
  • 10[6]Carpenter JS, Sloan P, Andrykowski MA, et al . Risk factors for pain after mastectomy/lumpectomy. Cancer Pract, 1999,7 (2):66 ~ 70

共引文献308

同被引文献73

引证文献6

二级引证文献26

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部