医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
19期
148-148,149
,共2页
乳腺癌%改良根治术%胸前神经%肋间臂神经
乳腺癌%改良根治術%胸前神經%肋間臂神經
유선암%개량근치술%흉전신경%륵간비신경
Breast cancer%Modified radical%Pectoral nerve%Intercostobrachial nerve
目的探究乳腺癌改良更指数保留肋间臂神经及胸前神经的临床应用价值。方法选取2010年1月~2014年1月我院收治的I、II、IIIa期乳腺癌患者144例为研究对象，按照术中方式的不同分为试验组与对照组，试验组76例，保留肋间臂神经和胸前神经；对照组68例，切除肋间臂神经和胸前神经。结果试验组患侧上肢感觉异常发生率为39.5%；对照组为55.9%，两组相比有显著性差异(<0.01)。术后胸大肌重度萎缩试验组39例，对照组53例，两组相比均者差异性。结论在I、II、IIIa期乳腺癌改良根治术中施行保留肋间臂神经和胸前神经能有效降低患者术后上肢感觉障碍的发生，减小手术对患者造成的影响，值得临床推广使用。
目的探究乳腺癌改良更指數保留肋間臂神經及胸前神經的臨床應用價值。方法選取2010年1月~2014年1月我院收治的I、II、IIIa期乳腺癌患者144例為研究對象，按照術中方式的不同分為試驗組與對照組，試驗組76例，保留肋間臂神經和胸前神經；對照組68例，切除肋間臂神經和胸前神經。結果試驗組患側上肢感覺異常髮生率為39.5%；對照組為55.9%，兩組相比有顯著性差異(<0.01)。術後胸大肌重度萎縮試驗組39例，對照組53例，兩組相比均者差異性。結論在I、II、IIIa期乳腺癌改良根治術中施行保留肋間臂神經和胸前神經能有效降低患者術後上肢感覺障礙的髮生，減小手術對患者造成的影響，值得臨床推廣使用。
목적탐구유선암개량경지수보류륵간비신경급흉전신경적림상응용개치。방법선취2010년1월~2014년1월아원수치적I、II、IIIa기유선암환자144례위연구대상，안조술중방식적불동분위시험조여대조조，시험조76례，보류륵간비신경화흉전신경；대조조68례，절제륵간비신경화흉전신경。결과시험조환측상지감각이상발생솔위39.5%；대조조위55.9%，량조상비유현저성차이(<0.01)。술후흉대기중도위축시험조39례，대조조53례，량조상비균자차이성。결론재I、II、IIIa기유선암개량근치술중시행보류륵간비신경화흉전신경능유효강저환자술후상지감각장애적발생，감소수술대환자조성적영향，치득림상추엄사용。
Objective To explore more index improved retention of breast cancer clinical value ICBN and chest nerves. Methods January 2010 ~ January 2014 in our hospital I,II,IIIa breast cancer patients with 144 cases for the study,according to the different methods of intraoperative divided into experimental group and control group, the experimental group 76 cases, retention ICBN and chest nerves; the control group of 68 patients, excision ICBN and chest nerves. Results The test group the incidence of upper limb paresthesia 39.5%; 55.9% in the control group, there was a significant dif erence between the two groups ( <0.01) compared. Pectoralis major muscle atrophy after severe test group 39 cases, 53 cases in the control group, the two groups were compared with those dif erences. Conclusion Implemented in I, II, IIIa of modified radical mastectomy retain ICBN and chest nerves can effectively reduce the postoperative incidence of upper extremity sensory disturbance, reduce the impact of surgery on patients caused worthy of clinical use.
