乳腺癌保乳手术中保留肋间臂神经的疗效分析

Clinical efficacy analysis on preserve the intereostobrachial nerve after breast-conserving surgery for breast carcinoma

目的探讨乳腺癌保乳手术中保留肋间臂神经的疗效。方法将我院收治的40例乳腺癌患者分为治疗组和对照组,两组均采用保乳手术治疗,对照组在术中常规切除肋间臂神经,治疗组保留肋间臂神经,比较两组的临床疗效。结果 40例患者术后均随访6～36个月,均未见复发、转移、死亡。治疗组的患者患侧肢体感觉障碍及疼痛的情况显著优于对照组(P<0.05)。结论乳腺癌保乳手术中保留肋间臂神经能明显减轻上肢感觉障碍及疼痛,促进患者生活质量的提高。

Objective To investigate clinical efficacy analysis on preserve the intereostobrachial nerve after breast-conserving surgery for breast carcinoma. Methods All of 40 cases of breast cancer in our hospital were randomly divided into treatment group and control group, they were all given breast-conserving surgery, the control group was removed the intercostal nerve during surgery, while the treatment group was preserved the intereostobrachiat nerve. Two groups were compared by clinical curative effect. Results After 40 patients were followed up for 6 to 36 months, they were showed no recurrence, metastasis, and death. Affected limb sensory disturbances and pain in the treatment group was significantly better than the control group （P〈0.05）. Conclusion Retain breast conserving surgery can significantly reduce the intercostal nerve during upper extremity sensory disturbances and pain, and improve the patient＇s quality of life.