CAJ | 학술논문

目的探讨乳腺癌手术中行腋窝淋巴结清扫时保留肋间臂神经的临床意义.方法 93例乳腺痛患者,随机分为两组,试验组(46例)行乳腺癌腋窝淋巴结清扫时保留肋间臂神经,对照组(47例)行常规手术切除肋间臂神经.术后对两组患者进行观察并随访.结果试验组术后发生上肢感觉障碍7例(15.2%),而对照组有36例(76.6%),两组经统计学处理(x<2>检验),差异有统计学意义(x<2>=35.23,P<0.005).随访3～48个月均未见局部复发.结论乳腺癌行腋窝淋巴结清扫术时保留肋间臂神经可以明显减少术后患侧上肢感觉障碍的发生,提高生活质量.
목적 탐토유선암수술중행액와림파결청소시보류륵간비신경적림상의의.방법 93례유선통환자,수궤분위량조,시험조(46례)행유선암액와림파결청소시보류륵간비신경,대조조(47례)행상규수술절제륵간비신경.술후대량조환자진행관찰병수방.결과 시험조술후발생상지감각장애7례(15.2%),이대조조유36례(76.6%),량조경통계학처리(x<2>검험),차이유통계학의의(x<2>=35.23,P<0.005).수방3～48개월균미견국부복발.결론 유선암행액와림파결청소술시보류륵간비신경가이명현감소술후환측상지감각장애적발생,제고생활질량.
Objective To study the clinical significance of preserving intercostobraehial nerve during axillary dissection for breast cancer. Methods Ninety-three cases of breast cancer were divided into experimen-tal group (preserving intercoatobrachial nerve) and contaol group (not preserving intercostobraehial nerve) re-spectively. All cases were followed up postoperatively. Results The postoperative morbidity of arm sensory dis-turbance was 15.2% in the experimental group, which was significantly different from that of the contaol group(76.6% ,X2=35.23 ,P<0.005). There was no local recurrence in any patients during the follow up period.Conclusion Preserving intereostobrachial nerve may significantly decrease the postoperative morbidity of arm sensory disturbance during axillary lymph nody excision in brease cancer and improve the quality of life.