CAJ | 학술논문

目的：探讨乳腺癌患者行乳腺癌改良根治术中保留五大功能神经的临床意义及预后情况。方法在120例Ⅰ、Ⅱ期乳腺癌患者中，行改良根治术时完全保留功能神经62例（保留组），不完全保留58例（对照组）。比较2组患者术后胸肌萎缩情况，上臂内侧及腋窝部皮肤感觉功能及预后情况。结果保留组与对照组相比较，胸肌萎缩情况有差异（P＜0．05）；上臂内侧及腋窝皮肤感觉有差异（P＜0．05）。随访1～6个月，2组间手术预后及复发率无差别。结论完全保留功能神经在Ⅰ、Ⅱ期乳腺癌改良根治术中安全可行，预后较好，可提高患者术后生活质量。
목적：탐토유선암환자행유선암개량근치술중보류오대공능신경적림상의의급예후정황。방법재120례Ⅰ、Ⅱ기유선암환자중，행개량근치술시완전보류공능신경62례（보류조），불완전보류58례（대조조）。비교2조환자술후흉기위축정황，상비내측급액와부피부감각공능급예후정황。결과보류조여대조조상비교，흉기위축정황유차이（P＜0．05）；상비내측급액와피부감각유차이（P＜0．05）。수방1～6개월，2조간수술예후급복발솔무차별。결론완전보류공능신경재Ⅰ、Ⅱ기유선암개량근치술중안전가행，예후교호，가제고환자술후생활질량。
Objective To investigate the clinical significance of reserving function nerve during the modified radical mastectomy and prognosis .Methods 120 cases of stage ⅠorⅡbreast cancer received modified radical mastectomy .The func-tion nerve was preserved completely in 62 cases(study group),and was resected in 58 cases(control group).The pectoralis mus-cles atrophy ,sensation of medial upper arms and axilla ,and prognosis of the 2 groups were compared .Results Pectoralis muscles atrophy of the 2 groups was different(P<0.05).There had difference in abnormal sensation on the skin of medial upper arms and axilla between the 2 groups (P<0.05).There had no difference in prognosis and recurrence in 1 to 6 months of follow-up be-tween the 2 groups.Conclusion Reserving function nerve in modified radical mastectomy for the patients with breast cancer is safe and has good prognosis ,and it can improve the life quality of the patients after operation .