保留胸前神经和肋间臂神经的乳腺癌手术效果观察

Observation on Effect of Breast Cancer Surgery with Preservation of Anterior Thoracic Nerve and Intercostobrachial Nerve

目的观察保留胸前神经和肋间臂神经的乳腺癌手术的效果。方法选取本院收治的48例乳腺癌患者为研究对象,随机分为研究组和对照组,各24例。研究组给予保留胸前神经与肋间臂神经的乳腺癌手术治疗方法,对照组给予传统的乳腺癌手术治疗方法,比较两组患者的临床疗效。结果研究组的术中出血量和淋巴结清除数量与对照组比较差异无统计学意义(P> 0.05);研究组的术后1年的并发症发生率为8.34%,显著低于对照组(41.66%,P <0.05)。研究组的术后1年的转移或复发率为12.50%,显著低于对照组(33.33%,P <0.05)。结论采用保留胸前神经和肋间臂神经的乳腺癌手术的临床疗效优于传统乳腺癌手术,能够显著降低术后并发症的发生,还可以有效减少胸肌萎缩的发生。

Objective To explore the effect of breast surgery operation with preserving thoracic nerves and intercostal brachial nerves. Methods Forty-eight patients with breast cancer admitted to our hospital were randomly divided into study group and control group,each with 24 cases. The study group was given breast cancer surgery with preservation of anterior thoracic nerve and intercostobrachial nerve,while the control group was given traditional breast cancer surgery,and the clinical efficacy of the two groups was compared. Results There was no significant difference in the amount of bleeding and lymph node clearance between the study group and the control group(P>0.05). The incidence of complications was 8.34% in the study group one year after surgery,significantly lower than the control group(41.66%,P<0.05). 1 year postoperative metastasis or recurrence rate of the study group was 12.50%,significantly lower than that of the control group(33.33%,P<0.05). Conclusion The clinical effect of breast cancer surgery with preservation of anterior thoracic nerve and intercostobrachial nerve is better than that without preservation of anterior thoracic nerve and intercostobrachial nerve. It can significantly reduce postoperative complications and effectively reduce the occurrence of pectoral muscle atrophy.