| 保留肋间臂神经在乳腺癌改良根治术中的应用及临床意义 |
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| 引用本文： | 赵延峰,黎辉,蒋国旭,崔澂. 保留肋间臂神经在乳腺癌改良根治术中的应用及临床意义[J]. 白求恩军医学院学报, 2009, 7(4): 207-208 |
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| 作者姓名： | 赵延峰 黎辉 蒋国旭 崔澂 |
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| 作者单位： | 1. 华北石油总医院普外科,任丘,062552
2. 白求恩军医学院,石家庄,050081 |
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| 摘 要： | 目的探讨保留肋间臂神经（ICBN）在乳腺癌腋淋巴结清扫术中的可行性及临床应用价值。方法76例乳腺癌患者在行腋淋巴结清扫时，游离并保留腋下脂肪组织中的ICBN，术后测试患侧上臂内后侧的感觉功能变化。结果术后上臂内后侧感觉异常发生率为5．26％（4／76），2周后症状消失，经1～6个月随访均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留ICBN，可明显减少乳房切除术后疼痛综合征（PMPS）的发生率，有利于改善患者术后的生存质量，具有一定的临床应用价值。
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| 关 键 词： | 乳腺癌 肋间臂神经 腋窝淋巴结清扫 |
The clinical significance of reserving intercostobrachial nerve during modified radical mastectomy |
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| ZHAO Yanfeng,LI Hui,JIANG Guoxu,et al.. The clinical significance of reserving intercostobrachial nerve during modified radical mastectomy[J]. Journal of Bethune Military Medical College, 2009, 7(4): 207-208 |
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| Authors: | ZHAO Yanfeng LI Hui JIANG Guoxu et al. |
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| Affiliation: | ZHAO Yanfeng,LI Hui,JIANG Guoxu,et al.Department of General Surgery,Huabei Oil Field General Hospital,Renqiu 062552,China |
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| Abstract: | Objective To investigate the possibility and clinical significance of reserving intercostobrachial nerve(ICBN) during the modified radical mastectomy.Methods 76 cases of breast carcinoma were treated by the modified radical mastectomy.The intereostobrachial nerves were saved in lymph node dissection.After operation,the sensation of ill side's upper arm was observed.Results 5.26% patients had abnormal sensation on the skin of medial upper arms after operation,and the symptoms disappeared 2 weeks later.No rec... |
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| Keywords: | Breast carcinoma Intercostobrachial nerve Axillary lymph node dissection |
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