乳腺癌改良根治术中保留肋间臂神经的探讨 |
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引用本文: | 高志慧.乳腺癌改良根治术中保留肋间臂神经的探讨[J].中国当代医药,2011(31):185-186. |
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作者姓名: | 高志慧 |
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作者单位: | 江苏省如东县人民医院普外科 |
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摘 要: | 目的:探讨乳腺癌改良根治术中保留肋间臂神经的可行性及临床意义。方法:132例Ⅰ、Ⅱ期乳腺癌患者中,术中保留肋间臂神经者68例,切除肋间臂神经者64例,两组患者行对比分析。结果:术后2周上臂感觉障碍发生率,保留肋间臂神经组为16.2%,而不保留肋间臂神经组为65.6%,术后3个月时分别为5.9%和53.1%,差异均具有统计学意义(P〈0.01)。结论:保留肋间臂神经能很好地保留乳腺癌患者术后上臂皮肤感觉功能,降低术后上臂感觉障碍的发生,可提高术后生活质量。
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关 键 词: | 乳腺癌 改良根治术 肋间臂神经 皮肤感觉功能 |
Approach to reserve intercostobrachial nerves in modified radical mastectomy |
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Authors: | GAO Zhihui |
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Institution: | GAO Zhihui The General Surgery Department of Rudong County People’s Hospital,Jiangsu Province,Rudong 226400,China |
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Abstract: | Objective:Approach feasibility and clinical significance of reserve intercostobrachial nerves in modified radical mastectomy.Methods:132 patients with Ⅰ、Ⅱbreast cancer,reserve intercostobrachial nerves 68 cases,excise ntercostobrachial nerves 64 cases.Analyzed results of the two groups.Results:Two weeks afteroperation,sensation disorders of upper arm,the group of reserve intercostobrachial nerves was 16.2%,The group of excise ntercostobrachial nerves was 65.6%;three months afteroperation,two group's sensation disorders of upper arm were 5.9% and 53.1%,difference possess statistical significance(P0.01).Conclusions:Reserve intercostobrachial nerves in modified radical mastectomy can improve quality of postoperative life. |
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Keywords: | Breast cancer Modified radical mastectomy Intercostobrachial nerves Skin sensation |
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