摘要
目的 探讨乳腺癌腋窝淋巴结清扫术保留肋间臂神经的价值。 方法 选择Ⅰ、Ⅱ期乳腺癌患者 ,随机分为 2组 ,实验组 45例保留肋间臂神经 ,对照组 6 0例常规手术而切除肋间臂神经 ,术后对 2组患者进行观察并随访。 结果 实验组术后发生上肢感觉障碍 7 1% ,而对照组高达6 3 3% ,2者比较差异有显著性意义 (χ2 =34 6 9,P <0 0 1) ;且经随访 2组均未发现局部复发。 结论 对于Ⅰ、Ⅱ期乳腺癌行腋窝淋巴结清扫时保留肋间臂神经可以明显减少术后患侧上肢感觉障碍的发生率。
Objective To study the value of preserving intercostobrachial nerve during axillary dissection for breast neopl asms. Methods From June 1996 to December 1997, stage Ⅰ,Ⅱ breast cancer patients were divided into experimental group (n =45) and control group (n=60) respectively. The intercostobrachial nerve was preserved in the experimental group and not in the control group. Both were fol lowed up after operations. Results The postope ra tion morbidity of arm sensory disturbance was 71% in the experimental group, w hich was significantly different from that of the control group(633%,χ 2 =34 69,P<0.01). No difference was noted in the recurrence rate betwee n the two groups. Conclusion Preserving inter costobrachial nerve may significantly decrease the morbidity of postoperation ar m sensory disturbance during axillary dissection for stage Ⅰ,Ⅱ breast cancer p atients.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2001年第10期773-774,共2页
Chinese Journal of Surgery
关键词
乳腺肿瘤
肋间臂神经
淋巴结切除术
Breast neoplasms
Intercostobra chialnerve
Lymphnode excision
