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保留肋间臂神经在乳腺癌腋淋巴结清扫术中的应用 被引量:4

Preservation of intercobrachial nerve during axillary lymph node dissection in patients with breast cancer
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摘要 目的探讨保留肋间臂神经在乳腺癌腋淋巴结清扫术中的可行性及临床应用价值。方法56例乳腺癌患者在行腋淋巴结清扫时,游离并保留腋下脂肪组织中的肋间臂神经,术后测试上臂内后侧的感觉功能。结果术后上臂内后侧感觉异常发生率为3.5%(2/56),3周后症状消失,经3 ̄12个月随访均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留肋间臂神经,可明显减少上臂内后侧感觉障碍的发生率,有利于改善病人术后的生活质量,具有一定的临床应用价值。 [Objective] To evaluate the feasibility and clinical value of preserving intercostobrachial nerve (ICBN) during axillary lymph node dissection for breast neoplasms. [Methods] Preservation of intercostobrachial nerve during axillary lymph node dissection was adopted in 56 patients with breast cancer. Afer operation, sensor), function of the medial-posterior of the upper arm was examined. [Results] 3.5% patients had abnormal sense on the skin of medial upper arms after operation and symptoms disappeared 3 weeks later. And we found no recurrence during 3 to 12 months following up. [Conclusions] Preserving intereostobrachial nerve during axillary dissection of breast cancer can decrease the incidence of abnormal sense on the skin of medial upper arms. It keeps the normal sensory functions of the skin of upper medial arm and axilla and improves the life quality of the patients after operations.
作者 赵玉生
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2006年第19期3019-3020,3022,共3页 China Journal of Modern Medicine
关键词 乳腺肿瘤 肋间臂神经 腋淋巴结清扫术 breast carcinoma intercostobraehial nerve axillary lymph node dissection
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