摘要
目的:探讨乳腺癌腋窝淋巴结清除术(ALND)中保留肋闻臂神经(ICBN)的可行性及意义。方法:抽选我院91例Ⅰ、Ⅱ期乳癌患者,根据在ALND术中ICBN保留与否分为对照组(n=46例,切除ICBN)和观察组(n=45例,保留ICBN),比较两组淋巴清扫量、手术时间以及术后2周、3、6个月患侧皮肤感觉障碍的随访差异。结果:两组患者淋巴清扫量、手术时间比较差异无显著性(P〈0.05);术后2周,3、6个月皮肤感觉障碍随访结果比较差异显著(P〈0.05);随访1-2年两组均未出现肿瘤复发病例。结论:乳腺癌ALND术中保留ICBN,可显著降低术后患侧上臂发生皮肤感觉障碍的几率,且对手术总体治井静关不产硅影响佶解脯糜箍产.
Objective:To explore the feasibility and significance, of the breast cancer axillary lymph node dissection (ALND) in the preservation of the intercostobrachial nerve (ICBN) Method: in our hospital I , II breast cancer patients were selected 91 cases, ac- cording to the ALND intraoperative ICBN retention or not and divided into control group ( n = 46 cases, resection of ICBN) and obser- vation group ( n = 45 cases, retention of ICBN), compared two groups of lymph node dissection, operation time and postoperative 2 week, and 3 the 6 - month ipsilateral skin sensory follow - up the difference. Results:Two groups of lymph node dissection, operation time had no significant difference ( P 〈 O. 05 ) ; 2 weeks after operation, 3, 6 months esthesiodetmia follow - up results are significantly different ( P 〈 0.05) ; 1 - 2 years follow - up of two groups had no cases of recurrence. Conclusion: ALND ICBN reserved for breast cancer patients, can significantly reduce the risk of postoperative lateral upper arm skin sensory disturbance, and does not affect the o- verall operation curative effect, which is worth the clinical promotion.
出处
《牡丹江医学院学报》
2014年第1期19-21,共3页
Journal of Mudanjiang Medical University
关键词
感觉障碍
乳腺癌
ICBN
淋巴结清除
sensory disturbance
breast cancer
ICBN
lymph node dissection