乳腺癌根治术中保留肋间臂神经的临床意义

目的 探讨乳腺癌根治术保留肋间臂神经的临床意义.方法 2003～2009年在68例根治术和改良根治术中保留肋间臂神经,对照组22例切除肋间臂神经,术后对两组患者进行观察并随访.结果 保留肋间臂神经试验组68例术后发生上肢感觉障碍5例（7.3%）,而对照组22例有上肢感觉障碍14例（63.6%）,两组比较差异有显著性意义（χ2=34.69,P〈0.01）;随访1～5年90例均未见局部复发.结论 在乳腺癌根治术中保留肋间臂神经是可行的,可明显减少术后患侧上肢感觉障碍,有利于改善患者术后的生活质量.

Clinical value of retained neurovascular in complete dissection of breast cancer

Objective To investigate a new technique of axiUary lymph node dissection and evaluate its clinical effects. Methods From June 2003 to December 2009 stage breast cancer were divided into experimental group （ n = 68 ） and control group （n = 22） respectively. The intercostobeachial nerve was preserved in the experimental group and not preserved in the control group. Both were followed up after operations. Results The postoperation morbidity of arm sensory disturbance was 7.3% in the experimental group,which was signitlcantlfy different from that of the control group （ 63.3 % ,X2 = 34.69, P 〈 0.01 ）. No difference was noted in the recurrence rate between the two groups. Conclusion Preserving intercostobrachial nerve may significantly decrease the morbidity of postoperation arm sensory disturbance during axillary dissection for stage breast cancer patients.