CAJ | 학술논문

目的：探讨乳腺癌改良根治术中保留肋间臂神经的临床意义。方法：收治乳腺癌患者90例，随机分成观察组和对照组各45例，行乳腺癌改良根治术，观察组术中保留肋间臂神经，对照组术中切除肋间臂神经，比较两组手术效果。结果：观察组的手术时间(93.5±12.9)min，明显高于对照组的(82.1±10.8)min(P＜0.05)。观察组术后半年出现疼痛综合征2例，感觉正常39例，感觉异常6例，对照组术后半年出现疼痛综合征13例，感觉正常14例，感觉异常31例，两组比较，差异有统计学意义(P＜0.05)。结论：乳腺癌改良根治术中保留肋间臂神经可明显减少患者的疼痛综合征的发生。
목적：탐토유선암개량근치술중보류륵간비신경적림상의의。방법：수치유선암환자90례，수궤분성관찰조화대조조각45례，행유선암개량근치술，관찰조술중보류륵간비신경，대조조술중절제륵간비신경，비교량조수술효과。결과：관찰조적수술시간(93.5±12.9)min，명현고우대조조적(82.1±10.8)min(P＜0.05)。관찰조술후반년출현동통종합정2례，감각정상39례，감각이상6례，대조조술후반년출현동통종합정13례，감각정상14례，감각이상31례，량조비교，차이유통계학의의(P＜0.05)。결론：유선암개량근치술중보류륵간비신경가명현감소환자적동통종합정적발생。
Objective:To explore the significance of preserving intercostobrachial nerve in modified radical mastectomy for breast cancer.Methods:90 patients with breast cancer were selected,they were randomly divided into the observation group and the control group with 45 cases in each,they were treated by modified radical mastectomy for breast cancer,in surgery,in the observation group,the intercostobrachial nerve was preserved,in the control group,the intercostobrachial nerve was removed,we compared the operation effect between the two groups.Results:In the observation group,the operation time of (93.5±12.9) minutes was significantly higher than (82.1 ± 10.8) minutes of the control group(P<0.05).In the observation group,at six months after operation,2 cases were pain syndrome,39 cases were normal sensation,6 cases were abnormal sensation,in the control group,at six months after operation,13 cases were pain syndrome,14 cases were normal sensation,31 cases were abnormal sensation,the two groups had statistical significance(P<0.05).Conclusion:Preservation of the intercostobrachial nerve in modified radical mastectomy for breast cancer can significantly reduce the incidence of pain syndrome.