中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2009年
4期
245-246,249
,共3页
乳腺癌根治术%肋间臂神经
乳腺癌根治術%肋間臂神經
유선암근치술%륵간비신경
Breast cancer operation%Intercostobrachial nerve
目的 探讨乳癌手术腋窝淋巴结清扫时保留肋间臂神经(ICBN)的临床价值.方法 对146例Ⅰ、Ⅱ、Ⅲa期乳癌患者行改良根治术的临床资料进行分析.将其随机分为两组:保留组(67例)行腋窝淋巴结清扫术时保留ICBN,对照组(79例)行腋窝清扫时常规切除ICBN,比较两组在手术时间、淋巴结清扫数量及术后上臂内侧感觉异常等情况.结果 保留组及对照组术后1、3、6个月患侧上臂内侧感觉障碍发生率分别为17.9%、74.9%(P＜0.01);11.9%、60.7%(P＜0.01);7.4%、59.5%(P＜0.01),差异有统计学意义,手术时间及淋巴结清扫数无明显差异,术后8个月～5年随访无局部复发.结论 对Ⅰ、Ⅱ、Ⅲa期乳癌患者在行腋窝淋巴结清扫时保留ICBN可明显减少术后患侧上臂内侧感觉障碍,提高生活质量,不影响局部复发率.
目的 探討乳癌手術腋窩淋巴結清掃時保留肋間臂神經(ICBN)的臨床價值.方法 對146例Ⅰ、Ⅱ、Ⅲa期乳癌患者行改良根治術的臨床資料進行分析.將其隨機分為兩組:保留組(67例)行腋窩淋巴結清掃術時保留ICBN,對照組(79例)行腋窩清掃時常規切除ICBN,比較兩組在手術時間、淋巴結清掃數量及術後上臂內側感覺異常等情況.結果 保留組及對照組術後1、3、6箇月患側上臂內側感覺障礙髮生率分彆為17.9%、74.9%(P＜0.01);11.9%、60.7%(P＜0.01);7.4%、59.5%(P＜0.01),差異有統計學意義,手術時間及淋巴結清掃數無明顯差異,術後8箇月～5年隨訪無跼部複髮.結論 對Ⅰ、Ⅱ、Ⅲa期乳癌患者在行腋窩淋巴結清掃時保留ICBN可明顯減少術後患側上臂內側感覺障礙,提高生活質量,不影響跼部複髮率.
목적 탐토유암수술액와림파결청소시보류륵간비신경(ICBN)적림상개치.방법 대146례Ⅰ、Ⅱ、Ⅲa기유암환자행개량근치술적림상자료진행분석.장기수궤분위량조:보류조(67례)행액와림파결청소술시보류ICBN,대조조(79례)행액와청소시상규절제ICBN,비교량조재수술시간、림파결청소수량급술후상비내측감각이상등정황.결과 보류조급대조조술후1、3、6개월환측상비내측감각장애발생솔분별위17.9%、74.9%(P＜0.01);11.9%、60.7%(P＜0.01);7.4%、59.5%(P＜0.01),차이유통계학의의,수술시간급림파결청소수무명현차이,술후8개월～5년수방무국부복발.결론 대Ⅰ、Ⅱ、Ⅲa기유암환자재행액와림파결청소시보류ICBN가명현감소술후환측상비내측감각장애,제고생활질량,불영향국부복발솔.
Objective To study the clinical value of preserving intercostobrachial nerve(ICBN) during axillary lymph node dissection.Methods The clinical data of 146 cases of operated breast cancer of stage Ⅰ、Ⅱ、Ⅲa were analyzed.All cases were divided into twe groups randomly:preserved group(n=67) preserved ICBN in axillary lymph node dissection operation;control group(n=79) resected ICBN regulary in the operations.The number of lymph node dissection and the incidence of abnormal sense on the skin of inside upper arm were compared between groups.Results In one month,three months and six months followed up:the incidence of ahnormal sense on the skin of inside upper arm was 17.9%,11.9%,7.4% in preserved group,which was lower than that (74.9%,60.7%,59.5%) in control group significantly (P＜0.01).The diflrence between the two groups was significant.No local recurrence was occurred after opreations from eight months to five years examined.It was none difference that period of operation and the number of lymph node dissection between the groups.Conclusions Preserving ICBN in axillary lymph node dissection for breast cancer of stage Ⅰ、Ⅱ、Ⅲa could decrease the incidence of abnormal sence on the skin of inside upper arm.It eouldnt increase the incidence of local recurrence.It can improve the life quality of the patients after operations.
