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目的:探讨乳腺癌改良根治术中保留肋间臂神经的临床价值。方法:对68例乳腺癌改良根治术患者术中完整保留肋间臂神经42例(观察组),切除肋间臂神经26例(对照组)。术后对2组患者上肢感觉功能进行随访观察。结果:随访1,6,24个月2组患者局部均未复发、转移。观察组患侧上臂及腋部皮肤感觉正常41例,上肢出现感觉减退1例;对照组患侧均发生感觉麻木,12例上肢伴烧灼样疼痛,9例感觉减退,术后5例腋窝无汗。2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降低术后患侧上臂感觉障碍和疼痛,有助于提高患者生活质量。
Objective: To investigate the clinical value of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods: A total of 42 patients with intercostobrachial nerve (observation group) and 26 patients with intercostobrachial nerve (control group) were resected in 68 patients with modified radical mastectomy. Postoperative 2 groups of patients with upper limb sensory function were followed up. Results: After 1, 6 and 24 months, no recurrence and metastasis occurred in the two groups. In the observation group, there were 41 cases with normal sensation in the upper arm and axillary skin and 1 case with sensory loss in the upper limb. The control group had numbness on the affected side, 12 cases of upper extremity burning pain, 9 cases of sensory loss, 5 cases of axillary sweat . The difference between the two groups was statistically significant (P <0.05). Conclusion: The preservation of intercostobrachial nerve during radical mastectomy in breast cancer can significantly reduce the sensory disturbance and pain in the upper limb after operation, and improve the quality of life of patients.