中国普通外科杂志2013，Vol.22Issue(7)：934-937,4.DOI:10.7659/j.issn.1005-6947.2013.07.024
乳腺癌腔镜腋窝淋巴结清扫术保留肋间臂神经的临床研究
Preservation of intercostobrachial nerve during endoscopic axillary lymph node dissection for breast cancer
摘要
Abstract
Objective:To investigate the approach for the preservation of the intercostobrachial nerve (ICBN) during endoscopic axillary lymph node dissection (EALND) for breast cancer and its significance.Methods:The clinical data of 98 patients with stage Ⅰ or Ⅱ breast cancer undergoing EALND procedures during May 2010 to September 2012 were collected,and then the data from 52 patients with ICBN preservation (preservation group) were compared historically to those from 46 previously treated patients without ICBN preservation (non-preservation group).Results:The post-mastectomy incidence of abnormal skin sensation (numbness and/or pain) in the upper arm in preservation group was 7.69％ (4/52) and in non-preservation group was 82.61％ (38/46) respectively,and difference between them had a statistical significance (P＜0.05).The symptoms of abnormal skin sensation in the upper arm lasted for more than one year in the 38 cases in non-preservation group,and were considerably milder in the 4 cases in preservation group,among whom the symptoms were completely relieved in 3 cases within 3 months and within 6 months in 1 case.Conclusion:Sufficient liposuction is the key for preserving ICBN during EALND for breast cancer,and ICBN preservation can reduce the occurrence of upper arm numbness and/or pain after surgery and improve the patients' quality of life.关键词
乳腺肿瘤/淋巴结切除术/肋间臂神经Key words
Breast Neoplasms/ Lymph Node Excision/ Intercostobrachial Nerves分类
医药卫生引用本文复制引用
曾繁余,张显岚,张珊,唐巍,黄玥,黄颖..乳腺癌腔镜腋窝淋巴结清扫术保留肋间臂神经的临床研究[J].中国普通外科杂志,2013,22(7):934-937,4.基金项目
广西壮族自治区卫生厅资助项目(Z2010289). （Z2010289）
