乳腺癌改良根治术中保留肋间臂神经的临床研究

目的：探讨保留肋间臂神经在乳腺癌改良根治术中的可行性及临床意义。方法：采用改良根治术治疗I、II期乳腺癌患者76例，术中清扫时保留肋间臂神经42例（实验组），切除肋间臂神经34例（对照组）。术后对两组患者上臂内侧感觉功能进行对比分析。结果：实验组和对照组患者上臂感觉障碍率术后1月时分别为19．1％和73．5％，术后3月时分别为7．1％和61．8％，术后12个月分别为2．4％和50．0％，组间相比差异均有统计学意义（P〈0．01）；而两组手术时间、出血量、清除淋巴结数目及复发率比较，差异均无统计学意义（P〉0．05）。结论：保留肋间臂神经在I、II期乳腺癌改良根治术中是安全可行的，能有效保留患者上臂内侧皮肤感觉功能，提高患者术后生活质量。

Clinical Research of Preserving Intercostobrachial Nerve in Modified Radical Mastectomy for Breast Cancer

Objective： To study the preservation of the intercostobrachial nerve radical feasibility and clinical significance in the treatment of breast cancer modified. Methods ： Using modified I treatment, 76 cases with stage II breast cancer radical surgery, intraoperative dissection for preservation of the intercostobrachial nerve in 42 cases （experimental group）, resected intercostobrachial nerve in 34 cases （ control group）. After a comparative analysis of two groups of patients with sensory function of the medial upper ann. Results ：The dis- turbance rates after operation in January in the experimental group and the control group of patients with arm sensory were 19.1% and 73.5%, 7.1% and 61.8% after March, 2.4% and 50% 12 months after operation, there were significant differences （P 〈 0.01 ） ; and the operation time, bleeding volume, the rate of lymph node number and recurrence were compared in two groups, the differences were not statistically significant （P 〉 0. 05）. Conclusions：The preservation of the intercostobrachial nerve in I, stage II breast cancer is feasible and safe in operation, it can effectively retain the patient the medial upper arm skin sensory function, improve the quality life of patients after operation.