乳腺癌改良根治术中保留肋间臂神经的临床观察

目的:探讨在乳腺癌改良根治术中保留肋间臂神经(intercostobrachial nerve,ICBN)的可行性及其临床意义。方法:选择Ⅰ、Ⅱ期乳腺癌86例,随机分为观察组38例,行腋窝清扫时保留肋间臂神经;对照组48例,行腋窝清扫时切除肋间臂神经。2组术后治疗措施相同,进行严密观察随访。结果:2组术后患侧上臂内侧及腋部皮肤感觉异常差异均有统计学意义(P0.01)。术后平均随访16个月,均未见局部复发。结论:在乳腺癌改良根治术中保留肋间臂神经是可行的,保存了患侧上臂内侧及腋部皮肤的感觉功能,提高了患者生活质量。

Intercostobrachial nerve reservation in radical resection of breast cancer

Objective:To investigate the clinical feasibility of reserving the intercostobrachial nerve(ICBN) in radical resection of breast cancer.Methods:Eighty-six cases of breast cancer at stageⅠor Ⅱ were randomly divided into observation group(n=38) and control group(n=48).In the observation group the ICBN were preserved in the axillary lymph node dissection operation,while in the control group the ICBN were resected in the operation.After the operation,both groups were treated as breast cancer and followed up.Results:The differences of esthesiodemt in the internal upper arm and axilla were statistically significant between the two groups(P<0.01).There was no local tumor or recurrence after a mean of 16 months′ follow-up.Conclusions:It is feasible to preserve the intercostobrachial nerve in radical resection of breast cancer,which reserves the skin sensory function of the internal upper arm and axilla,thus enhancing the patients′ quality of life.