术中保护肋间臂神经及胸前神经对乳腺癌患者术后并发症的影响

Effect of intercostobrachial and anterior thoracic nerve protection on postoperative complica‐tions in breast cancer patients

目的观察术中保护肋间臂神经及胸前神经对乳腺癌患者术后并发症的影响。方法回顾性分析乳腺癌改良根治术患者290例的临床资料,其中172例行术中保护肋间臂神经及胸前神经(观察组),118例不予保留(对照组),比较两组患肢水肿、皮肤感觉异常、胸肌萎缩等并发症。结果观察组患肢肿胀、皮肤感觉异常、胸肌萎缩者分别为20例(11.6%)、10例(5.8%)、6例(3.5%),而对照组分别为47例(39.8%)、26例(22.0%)、31例(26.2%),差异均有统计学意义(P<0.01)。结论乳腺癌改良根治术时保护肋间臂神经及胸前神经可减少患肢水肿、皮肤感觉异常及胸肌萎缩。

Objective To observe the effect of intercostobrachial and anterior thoracic nerve protection on postoperative complications in breast cancer patients.Merhods Clinical data of 290 cases underwent modified radical mastectomy were retrospectively analyzed,172 receiving intercostobrachial and anterior thoracic nerve protection(observation group)and 118 not(control group).Postoperative complications such as limb edema,skin paresthesia and chest atrophy were compared between two groups.Results Compared with control group,limb edema(11.6%vs 39.8%),skin paresthesia(5.8%vs 22.0%)and chest atrophy(3.5%vs 26.2%)were fewer in observation group(P<0.01).Conclusion The protection of intercostobrachial and anterior thoracic nerves during modified radical mastectomy can reduce postoperative limb edema,skin paresthesia and chest atrophy.