40例乳腺癌改良根治术中保留肋间臂神经的临床分析

目的：探讨乳癌根治术中保留肋间臂神经的临床意义。方法在66例乳癌根治术中完整保留肋间臂神经40例，切除肋间臂神经26例，术后对66例上臂内侧皮肤感觉随访观察。结果：66例患者在随访第1～3年局部均未发现癌肿复发。保留肋间臂神经40例中术后患侧上臂内侧和腋窝皮肤感觉均正常，而切除肋间臂神经的26例患者均有不同程度的感觉异常。结论：乳癌根治术保留肋间臂神经可避免患者的肢体感觉异常，有助于提高病人的生活质量。

Objective To investigate the clinical significance of intercostobrachial nerve reservation in radical resection of breast cancer. Methods 66 patients with breast cancer were underwent radical resection. The intercostobrachial nerves were reserved and resected in 40 and26 cases respectively. The sensory function of internal upper arm was been studied by follow-up after operation. Results？ There were no focal tumor recurrence and metastasis in66patients during 3 years＇ follow-up. Skin sensory function of internal upper arm and armpit was normal in 40 cases of intercostobrachial nerve reservation, but abnormal in 26 cases of intercostobraehial nerve resection. Conclusion Intercostobrachial nerve reservation in radical resection of breast cancer can obviously reduce the incidence of postoperative esthesiodermia of internal upper arm and armpit and improve the life quality of patients.