实用临床医药杂志2013，Vol.17Issue(15)：126-128,3.DOI:10.7619/jcmp.201315048
乳腺癌改良根治术中保留肋间臂神经的临床意义
Clinical significance of intercostobrachial nerve reservation in the modified radical mastectomy
魏承涛1
作者信息
- 1. 山东省阳谷县妇幼保健院外科,山东阳谷,252300
- 折叠
摘要
Abstract
Objective To investigate the clinical value and feasibility of reserving intercostobrachial nerve (ICBN) during the modified radical mastectomy.Methods One hundred and thirty patients with stage Ⅰ / Ⅱ / Ⅲ a breast cancer who underwent modified mastectomy were divided into retention group (The ICBN kept,n =65) and control group (ICBN removed,n =65).The two groups both were given routine modified radical mastectomy.Clinical indexes such as the effect of skin feel,the number of lymph node dissection,operative time,and blood loss and so on were compared between the two groups.Results The two groups had no marked difference in operation time blood loss and the number of lymph node dissection (P ＞0.05).The incidences of skin feels obstacle 1,3,6,12 months after surgery of retention group were significantly lower than those of the resection group,the difference being statistically significant (P ＜ 0.05).The incidence of postoperative local recurrence and distant metastases of the two groups showed no significant difference (P ＞0.05).Conclusion Reserving ICBN could decrease the incidence of skin feels obstacle.It also could improve the postoperative life quality instead of increasing the risk of local recurrence or distant metastasis.关键词
乳腺肿瘤/改良根治术/肋间臂神经Key words
breast cancer/ intercostobrachial nerve/ axillary lymph node dissection分类
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魏承涛..乳腺癌改良根治术中保留肋间臂神经的临床意义[J].实用临床医药杂志,2013,17(15):126-128,3.
