中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
23期
3183-3184
,共2页
乳腺肿瘤%乳房切除术,根治性%肋间臂神经
乳腺腫瘤%乳房切除術,根治性%肋間臂神經
유선종류%유방절제술,근치성%륵간비신경
Breast neoplasms%Mastectomy,radical%Intercostobrachial nerve
目的 探讨早期(Ⅰ、Ⅱ期)乳腺癌改良根治术中保留肋间臂神经的临床价值.方法 回顾分析62例行早期乳腺癌改良根治术患者的临床资料,以术中完整保留肋间臂神经46例患者作为观察组,中切除肋间臂神经16例患者作为对照组,对比分析两组术后上臀内侧及腋部皮肤感觉异常发生情况及乳腺癌复发情况.结果 62例均行乳腺癌改良根治术,均临床治愈出院.观察组上臂内侧及腋窝皮肤感觉异常例(1 0.9％),明显低于对照组的16例(100.0％)(x2=19.27,P＜0.05).平均随访1年,观察组中上臂皮感党异常患者5例,在术后1～3个月内恢复；对照组感觉异常均未恢复正常；两组均未发现肿瘤局部复发远处转移.结论 在乳腺癌改良根治术中保留肋间臂神经是可行的,可明显减少术后患侧上臂内侧及腋部肤感觉异常发生率,改善患者术后生活质量.
目的 探討早期(Ⅰ、Ⅱ期)乳腺癌改良根治術中保留肋間臂神經的臨床價值.方法 迴顧分析62例行早期乳腺癌改良根治術患者的臨床資料,以術中完整保留肋間臂神經46例患者作為觀察組,中切除肋間臂神經16例患者作為對照組,對比分析兩組術後上臀內側及腋部皮膚感覺異常髮生情況及乳腺癌複髮情況.結果 62例均行乳腺癌改良根治術,均臨床治愈齣院.觀察組上臂內側及腋窩皮膚感覺異常例(1 0.9％),明顯低于對照組的16例(100.0％)(x2=19.27,P＜0.05).平均隨訪1年,觀察組中上臂皮感黨異常患者5例,在術後1～3箇月內恢複；對照組感覺異常均未恢複正常；兩組均未髮現腫瘤跼部複髮遠處轉移.結論 在乳腺癌改良根治術中保留肋間臂神經是可行的,可明顯減少術後患側上臂內側及腋部膚感覺異常髮生率,改善患者術後生活質量.
목적 탐토조기(Ⅰ、Ⅱ기)유선암개량근치술중보류륵간비신경적림상개치.방법 회고분석62례행조기유선암개량근치술환자적림상자료,이술중완정보류륵간비신경46례환자작위관찰조,중절제륵간비신경16례환자작위대조조,대비분석량조술후상둔내측급액부피부감각이상발생정황급유선암복발정황.결과 62례균행유선암개량근치술,균림상치유출원.관찰조상비내측급액와피부감각이상례(1 0.9％),명현저우대조조적16례(100.0％)(x2=19.27,P＜0.05).평균수방1년,관찰조중상비피감당이상환자5례,재술후1～3개월내회복；대조조감각이상균미회복정상；량조균미발현종류국부복발원처전이.결론 재유선암개량근치술중보류륵간비신경시가행적,가명현감소술후환측상비내측급액부부감각이상발생솔,개선환자술후생활질량.
Objective To explore the early(Ⅰ,Ⅱ)in modified radical mastectomy of breast cancer clinical value of preserving intercostobrachial nerve.Methods A retrospective analysis of 62 cases of early breast cancer patients with the clinical data,on intraoperative complete preservation of the intercostobrachial nerve in 46 cases as the observation group,intraoperative resected intercostobrachial nerve in 16 cases as control group,comparative analysis of the two groups after the upper medial arm and axilla skin paresthesia and breast cancer recurrence.Results All 62cases underwent modified radical mastectomy of breast cancer,all patients were cured.The observation group upper medial arm and axillary skin sensory abnormalities in 5 cases(10.9％),significantly lower than the control group of 16 cases(100％)(x2 =19.27,P ＜0.05).A mean follow-up of 1 year,the observation group in upper arm skin party abnormalities in patients with 5 cases,after 1 ～ 3 mongths recovery ;control group of sensory abnormalities were not returned to normal; the two groups were not found in local tumor recurrence or distant metastasis.Conclusion In modified radical mastectomy of breast cancer reserving intercostobrachial nerve was feasible,and could significantly reduce the postoperative lateral medial arm and axilla skin feeling abnormal rate,and improve the quality of life in patients.
