乳腺癌改良根治术中保留肋间臂神经的意义

The significance of preserving intercostobrachial nerve in modified radical mastectomy for breast cancer

目的:探讨乳腺癌改良根治术中保留肋间臂神经的临床意义。方法:收治乳腺癌患者90例,随机分成观察组和对照组各45例,行乳腺癌改良根治术,观察组术中保留肋间臂神经,对照组术中切除肋间臂神经,比较两组手术效果。结果:观察组的手术时间(93.5±12.9)min,明显高于对照组的(82.1±10.8)min(P<0.05)。观察组术后半年出现疼痛综合征2例,感觉正常39例,感觉异常6例,对照组术后半年出现疼痛综合征13例,感觉正常14例,感觉异常31例,两组比较,差异有统计学意义(P<0.05)。结论:乳腺癌改良根治术中保留肋间臂神经可明显减少患者的疼痛综合征的发生。

Objective:To explore the significance of preserving intercostobrachial nerve in modified radical mastectomy for breastcancer.Methods:90 patients with breast cancer were selected,they were randomly divided into the observation group and thecontrol group with 45 cases in each,they were treated by modified radical mastectomy for breast cancer,in surgery,in theobservation group,the intercostobrachial nerve was preserved,in the control group,the intercostobrachial nerve was removed,wecompared the operation effect between the two groups.Results:In the observation group,the operation time of (93.5±12.9) minuteswas significantly higher than (82.1 ± 10.8) minutes of the control group(P<0.05).In the observation group,at six months afteroperation,2 cases were pain syndrome,39 cases were normal sensation,6 cases were abnormal sensation,in the control group,at sixmonths after operation,13 cases were pain syndrome,14 cases were normal sensation,31 cases were abnormal sensation,the twogroups had statistical significance(P<0.05).Conclusion:Preservation of the intercostobrachial nerve in modified radicalmastectomy for breast cancer can significantly reduce the incidence of pain syndrome.