乳腺癌改良根治术保留肋间臂神经72例临床价值分析

Clinic value of modified radical mastectomy preserving intercostobrachial nerve

目的:探讨乳腺癌改良根治术中保留肋间臂神经的方法及临床价值。方法:96例乳腺癌患者均行改良根治术,手术中保留肋间臂神经72例,切除肋间臂神经24例,术后对患者上臂内侧感觉功能进行随访观察。结果:保留肋间臂神经72例中术后患侧上臂内侧及腋部皮肤感觉正常66例(91.7%),感觉异常6例(8.3%);而切除肋间臂神经的24例患者均有感觉异常(100%)。结论:保留肋间臂神经的乳腺癌根治术能够有效地防止患侧腋窝及上肢皮肤感觉障碍的发生率,不增加手术并发症的发生率,不影响手术的根治性,有助于提高患者的生活质量。

Objective： To discuss the clinic application of modified radical mastectomy preserving intercostobrachialnerve.Methods： Modified radical mastectomy preserving intercostobrachialnerve was carried out to 96 cases with breast cancer,including 72 cases with intercostobrachial nerve preserved and 24 cases without preservation.Sensation function in media arms was observed.Results： Sixty-six out of 72 cases with intercostobrachial nerve preserved had normal sensation in media arms（91.7%）,and 6 cases had abnormal sense（8.3%）,while all 24 cases without preservation had abnormal sensation（100%）.Conclusions： Modified radical mastectomy preserving intercostobrachial nerve can effectively prevent sensation disturbance and decrease the incidence of complication.It has no effect on radical cure of surgery and can improve the qulity of patients＇ life.