乳腺癌手术保留肋间臂神经的临床价值

目的探讨乳腺癌腋窝淋巴结清扫术保留肋间臂神经的价值.方法选择Ⅰ、Ⅱ期乳腺癌患者,随机分为2组,实验组45例保留肋间臂神经,对照组60例常规手术而切除肋间臂神经,术后对2组患者进行观察并随访.结果实验组术后发生上肢感觉障碍7.1%,而对照组高达63.3%,2者比较差异有显著性意义(χ2=34.69,P＜0.01);且经随访2组均未发现局部复发.结论对于Ⅰ、Ⅱ期乳腺癌行腋窝淋巴结清扫时保留肋间臂神经可以明显减少术后患侧上肢感觉障碍的发生率.

Clinical value of preserving intercostal-brachial nerve during breast cancer operations

OBJECTIVE: To study the value of preserving intercostal-brachial nerve during axillary dissection for breast neoplasms. METHODS: From June 1996 to December 1997, stage I, II breast cancer patients were divided into experimental group (n = 45) and control group (n = 60) respectively. The intercostal-brachial nerve was preserved in the experimental group and not in the control group. Both were followed up after operations. RESULTS: The postoperation morbidity of arm sensory disturbance was 7.1% in the experimental group, which was significantly different from that of the control group(63.3%, chi2 = 34.69, P < 0.01). No difference was noted in the recurrence rate between the two groups. CONCLUSIONS: Preserving intercostal-brachial nerve may significantly decrease the morbidity of postoperation arm sensory disturbance during axillary dissection for stage I, II breast cancer patients.