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目的 探讨乳腺癌简化根治切除术术后病人患侧上肢运动功能障碍的原因。方法 采用彩色多普勒血流显像仪对 2 0例行乳腺癌简化根治切除术 (pateydyson手术 )术后病人的双侧胸大肌厚度、血液供应量进行测量 ,同时测量双侧胸大肌肌力及上肢内收角度。结果 患侧胸大肌厚度、胸大肌可探测到的各支动脉血流量的总和、患侧上臂内收肌力及内收角与健侧比较差异均有显著意义 (P <0 0 5 )。结论 乳腺癌简化根治切除术时应对胸大肌血液供应血管及支配其运动的神经加强保护 ,以提高病人术后生存质量。
Objective To investigate the causes of upper extremity motor dysfunction in patients with breast cancer after radical radical resection. Methods 20 patients with breast cancer underwent radical radical resection (pateydyson surgery) were treated with color Doppler flow imaging to measure bilateral pectoralis major muscle thickness and blood supply. Simultaneously, bilateral pectoralis major muscles were measured. Muscle strength and upper limb adduction. Results The thickness of the pectoralis major muscle of the ipsilateral side, the sum of the blood flow of each branch artery that can be detected in the pectoralis major muscle, the adductor muscle strength and the adduction angle between the affected side and the contralateral side were all significantly different (P < 0.05). . Conclusion In radical excision of breast cancer, the pneumothorax blood supply to the blood vessels and the nerves that govern their movements should be strengthened in order to improve the postoperative quality of life.