保留肋间臂神经在乳腺癌改良根治术中的应用
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陈佑江 E-mail:181pwk@sina.com

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R 737.9

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Preservation of intercostobrachial nerve during modified radical mastectomy
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    摘要:

    目的:探讨保留肋间臂神经在乳腺癌改良根治术中的临床应用价值。
    方法:我院2005年1月—2009年1月行乳腺癌改良根治术共372例,其中保留肋间臂神经93例(保留组),未保留肋间臂神经279例(切除组),术后均进行1年随访观察。
    结果:保留组术后1、3、12个月患侧上臂内侧及腋窝皮肤感觉异常的发生率均明显低于切除组,两者差异显著(P<0.05);而术后3、6、12个月腋窝局部复发率两组相比无显著性差异(P>0.05)。
    结论:乳腺癌改良根治术中保留肋间臂神经有利于减少术后患侧上臂内侧及腋窝皮肤感觉异常的发生率,改善术后患者的生活质量,且不影响手术效果,值得临床推广应用。

    Abstract:

    Objective:To study the clinical value of preservation of intercostobrachial nerve (ICBN)  during modified radical mastectomy.
    Methods:From January 2005 to January 2009, 372 cases of modified radical mastectomy were performed in our hospital, among them,  ICBN was preserved in 93 cases (preserve group), and not preserved ICBN in 279 cases (resected group) All of the patients were followed-up  for a year.
    Results:At 1,3 and 12 months after surgery, the incidence of  ipsilateral medial upper arm and axillary paresthesias in ICBN preserve group was significantly lower than that in the resection group, and the difference was significant (P<0.05); at 3, 6, 12 months after surgery local axillary recurrence rate in the two groups showed no significant difference (P>0.05).
    Conclusions:Preservation of ICBN in  modified radical mastectomy has the advantage of decrease in ipsilaleral arm and armpit paresthesia with improvement in quality of life after surgery, and does not affect surgical outcome. It is worthy of widespread clinical  application.

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吴云阳| 陈佑江| 丁祥飞| 周魁平| 陈伟| 周辉生| 钟锦宜| 蒋鑫龙| 龙飞桂.保留肋间臂神经在乳腺癌改良根治术中的应用[J].中国普通外科杂志,2010,19(11):1204-1206.

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  • 收稿日期:2010-03-13
  • 最后修改日期:2010-09-14
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  • 在线发布日期: 2010-11-15
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