目的：探讨利用腋下溶脂、抽脂术对乳腺癌开放性手术中保护肋间臂神经的效果。 方法：对比乳腺癌改良根治手术中先采用溶脂、抽脂术观察组（29例）和未采用溶脂、抽脂术对照组（31例）对肋间臂神经损伤的发生情况，评估两者预防肋间臂神经损伤的效果。 结果：观察组中1例在溶脂过程中直接损伤肋间臂神经，1例溶脂不理想，致手术时误断肋间臂神经；对照组中8例误伤肋间臂神经。 结论：在开放性乳腺癌手术中先行溶脂、抽脂术以行保护肋间臂神经是可行的、有效的，如术者能在熟练掌握该技术。
Objective：To investigate the protective effect of lipolysis and liposuction on intercostobrachial nerve (ICBN) during breast cancer open surgery. Methods：The incidences of ICBN injury between observation group including 29 patients with lipolysis and liposuction and control group consisting 31 patients without lipolysis and liposuction were compared. Results：In observation group, one patient′s ICBN was directly injuried during lipolysis, and one patient′s ICBN was injuried due to unsatisfactory lipolysis during open surgery. In control group, ICBN injury was found in 8 cases. Conclusions：It is feasible and effctive to perform lipolysis and liposuction first for protecting ICBN during open surgery of breast cancer, if the operator can proficienctly perform the procedure.
冯铎, 陶霖玉, 何劲松, 徐菲, 齐柯, 林秋生, 陈天文, 李杏.溶脂抽脂术对乳腺癌手术保护肋间臂神经的探讨[J].中国普通外科杂志,2011,20(5):478-480.复制