乳腺癌患者应用保留肋间神经的改良根治术治疗对其术后肩关节功能恢复及预后的影响

Effects of Modified Radical Mastectomy with Preserving Intercostobrachial Nerve on Postoperative Recovery of Shoulder Function and Prognosis in Breast Cancer Patients

目的 探究乳腺癌患者应用保留肋间神经(ICBN)的改良根治术治疗对其术后肩关节功能恢复及预后的影响。方法:选取2019年2月-2020年2月于某院就诊治疗的乳腺癌患者68例,按随机数字表法分为保留组33例和切除组35例,保留组采用保留ICBN的改良根治术进行治疗,切除组采取不保留ICBN的传统根治术进行治疗,比较两组手术临床用效果及患者预后情况。结果:两组患者手术时间、术中出血量、淋巴扫除数差异无统计学意义(P>0.05),保留组术后住院时间明显低于切除组(P<0.05);保留组腋窝疼痛、患肢水肿、皮瓣坏死、感染等并发症总发生率明显低于切除组(P<0.05);术后1个月,保留组肩关节前、后、内、外4个方向活动度明显高于对照组(P<0.05),保留组肩关节功能恢复优良率明显高于切除组(P<0.05);两组1年生存率、肿瘤复发率、转移率比较差异无统计学意义(P>0.05)。结论:保留ICBN的改良根治术可有效缩短乳腺癌患者术后住院时间,减少术后并发症发生率,加快患者术后肩关节功能恢复速度,预后情况良好。

Objective:To explore the effects of modified radical mastectomy with preserving intercostobrachial nerve(ICBN) on postoperative recovery of shoulder function and prognosis in breast cancer patients.Methods:A total of 68 breast cancer patients treated in the hospital from February 2019 to February 2020 were enrolled and divided into retention group(33 cases,modified radical mastectomy with preserving ICBN) and resection group(35 cases,traditional radical mastectomy without preserving ICBN) according to random number table method.The clinical effect and prognosis between the two groups were compared.Results:There was no significant difference in operation time,intraoperative blood loss and number of lymph node dissection between the two groups(P>0.05).The postoperative hospitalization time in retention group was significantly shorter than that in resection group(P0.05).Conclusion:Modified radical mastectomy with preserving ICBN can effectively shorten postoperative hospitalization time in breast cancer patients,reduce the incidence of postoperative complications,and accelerate recovery of postoperative shoulder function,with good prognosis.