乳腺癌手术保留肋间臂神经的临床价值

目的分析并研究乳腺癌手术保留肋间臂神经的临床价值.方法将我院在 2012年1 月到 2014 年 12月收治的102例需要进行手术治疗的乳腺癌患者作为研究对象,将所有患者按照随机法划分为观察组和对照组,每组51例.对照组患者在进行乳腺癌切除手术的时候不进行肋间臂神经的保留,观察组患者在进行乳腺癌切除手术的时候保留肋间臂神经,对两组患者的治疗效果进行观察并做比较.结果两组患者的手术时间和淋巴结清除数量相比,无明显差异,P〉0.05,不具有统计学意义;对两组患者的上肢感觉障碍情况进行比较,观察组患者上肢感觉障碍情况明显优于对照组,两组比较差异明显,P〈0.05,具有统计学意义.结论临床上对于乳腺癌患者采用乳腺癌切除手术进行治疗,术中保留肋间臂神经具有显著的临床价值,可以在相同的手术时间内和清除相同数量的淋巴结前提下,降低患者上肢感觉障碍的发生率,促进患者的预后,具有临床推广使用的价值.

Objective Analysis and research on surgical clinical value of preserving intercostobrachial nerve in breast cancer.Methods Will be admitted to our hospital in January 2012 and December 2014 102 Lee required surgery in the treatment of breast cancer patients into group and control group, each group of 51 cases in the control group at the time of surgery without intercostobrachial nerve preservation, observed group retains a nerve, the treatment effects were observed and compared two groups of patients.Result The operation time and the number of lymph node dissection between two groups was not statistically significant, P〉0.05; group of upper limbs in patients with sensory disorder significantly better than the control group, compared the two groups, P〈0.05, significant differences was statistically significant.Conclusion Surgical treatment for breast cancer patients in clinical, operative preservation of intercostobrachial nerve in effect can reduce the occurrence of upper limbs in patients with neurological disorders, and promoting the use of it.