保留肋间臂神经在乳腺癌术中的应用

目的: 探讨乳腺癌改良根治术中保留肋间臂神经的作用。方法:选择100例Ⅰ，Ⅱ期乳腺癌患者术中保留肋间臂神经，术后进行观察并随访。结果:91例术后无上肢感觉异常，9例出现上臂内侧感觉异常。结论:保留肋间臂神经可以明显减少术后患侧上肢感觉异常的发生率，提高术后的生活质量。

Preservation of the intercostobrachial nerve during operation for breast cancer

Abstract:Objective:To evaluate the effect of preserving the intercostobrachial nerve(ICBN) during modified radical mastectomy for breast cancer. Methods:Preservation of ICBN during modified radical mastectomy was performed in 100 patients with stage Ⅰ or stage Ⅱ breast carcinoma. All patients were followed up after operation. Results:Ninty-one patients had normal sensation of the skin of upper arm on operated side, while medial side paresthesia of the upper arm occurred in 9 cases within the postoperative follow up period.Conclusions:Preserving the intercostobrachial nerve in modified radical mastectomy for patients with breast cancer can decrease the incidence of abnormal sensation of the skin of affected upper arm,and improve the quality of life of patients after operation.