乳腺癌根治术保留肋间臂神经临床价值分析

目的 探讨乳腺癌手术腋窝淋巴结清扫时保留肋间臂神经（ICBN）的临床意义。 方法 甘肃省定西市人民医院2002年1月至2006年1月对122例Ⅰ、Ⅱ、Ⅲa期乳腺癌病人行手术治疗。将其随机分为两组：治疗组（56例）行腋窝清扫术时保留ICBN，对照组（66例）行腋窝清扫术时常规切除ICBN，两组病人术后均按乳腺癌治疗，进行严密随访观察。 结果 治疗组及对照组术后1个月上臂内侧感觉障碍发生率分别为7.14%、56.06%（P＜0.01），差异有统计学意义，经1～5年随访均无局部复发。 结论 对于Ⅰ、Ⅱ、Ⅲa期乳腺癌病人行腋窝淋巴结清扫术时，保留ICBN可明显减少病人术后患侧上臂内侧感觉障碍，提高生活质量。

Clinical value of preserving intercostobrachial nerve during breast cancer operations

Clinical value of preserving intercostobrachial nerve during breast cancer operations ZHI Zhen, LIU Xiao-min, SUN Li-guo, et al. Department of Oncology , Dingxi People’s Hospital of Gansu Province, Dingxi 743000, China Corresponding author：ZHI Zhen，E-mail：dxzhi.zhen@163.com Abstract Objective To study the value of preserving intercostobrachial nerve (ICBN) during axillary lymph node dissection for breast cancer. Methods From January 2002 to January 2006, 122 cases of breast cancer of stageⅠ, Ⅱ and Ⅲa were operated at Dingxi People’s Hospital. All the cases were divided into two groups randomly: treatment group（n=56) preserved ICBN in axillary lymph node dissection operation; control group （n=66）resected ICBN regularly in the operations. Both of two groups were treated as breast cancer and examined after the operations. Results In one month after operation, the incidence of abnormal sense on the skin of medial upper arm was 7.14% in treatment group, which was lower than that （56.06%） in control group significantly（P＜0.01）. The difference between the two groups was significant. No local recurrence was occurred in five years. Conclusion Preserving ICBN in axillary lymph node dissection for breast cancer of stageⅠ, Ⅱ and Ⅲa can decrease the incidence of abnormal sense on the skin of medial upper arm. It can improve the life quality of the patients after operations.