乳腺癌手术中保留肋间臂神经与术后感觉异常的关系 |
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引用本文: | 王岩,周军,王学彩,王昭昕,高希涛.乳腺癌手术中保留肋间臂神经与术后感觉异常的关系[J].医学理论与实践,2013,26(11):1413-1414. |
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作者姓名: | 王岩 周军 王学彩 王昭昕 高希涛 |
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作者单位: | 王岩 (江苏省连云港市第一人民医院普外科,222002); 周军 (江苏省连云港市第一人民医院普外科,222002); 王学彩 (江苏省连云港市第一人民医院普外科,222002); 王昭昕 (江苏省连云港市第一人民医院普外科,222002); 高希涛 (江苏省连云港市第一人民医院普外科,222002); |
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摘 要: | 目的:评价乳腺癌手术中保留肋间臂神经(ICBN)与术后感觉异常的关系。方法:110例Ⅰ、Ⅱ期乳腺癌手术患者,术中保留ICBN 58例(A组),未保留ICBN 52例(B组),对两组患者术后进行随访观察。结果:两组患者术后上臂感觉异常发生率分别为22.4%和69.2%,其中疼痛发生率分别为12.1%和30.8%,差异有统计学意义(P<0.05)。结论:Ⅰ、Ⅱ期乳腺癌手术中保留肋间臂神经可明显减少术后感觉异常的发生。
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关 键 词: | 肋间臂神经 乳腺癌 感觉异常 |
The Relationship between Reserving Intercostobrachial Nerve(ICBN)and Postoperative Paresthesia on Breast Carcinoma Surgery Patients |
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Institution: | WANG Yan,ZHOU Jun,WANG Xuecai,et al.Department of General Surgery,the First People’s Hospital of Lianyunguang City,Jiangsu Province 222002 |
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Abstract: | Objective:To estimate the relationship between reserving intercostobrachial nerve(ICBN)and postoperative paresthesia on breast carcinoma surgery patients.Methods:A total of 110cases withⅠandⅡstage breast carcinoma were divided into two groups.The ICBN was reserved in 58cases(group A),and not in 52cases(group B),then we observed and followed up all patients.Results:The postoperative morbidity of arm sensory disturbance in two groups was 22.4%and 69.2%respectively,in which the incidence of pain was 12.1%and 30.8%,with statistical difference in them(P<0.05).Conclusion:InⅠandⅡstage breast carcinoma surgery patients reserving intercostobrachial nerve can significantly reduce the incidence of postoperative paresthesia. |
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Keywords: | Intercostobrachial nerve Breast carcinoma Paresthesia |
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