乳腺癌改良根治术中保留肋间臂神经的临床意义

目的探讨乳腺癌改良根治术中保留肋间臂神经（ICBN）的可行性及临床意义。方法分析105例Ⅰ、Ⅱ期乳腺癌患者,分为2组：实验组56例,行乳腺癌改良根治术时保留ICBN,对照组49例,行常规乳腺癌改良根治术,术中不保留ICBN,随访观察术后患者腋窝、上臂内侧感觉功能。结果实验组患者上臂感觉障碍发生率10.7%,而对照组为69%,差异有统计学意义（P〈0.01）,全部病例随访3 a无局部复发。结论Ⅰ、Ⅱ期乳腺癌行改良根治术时保留ICBN可明显减少术后患侧腋窝上臂内侧感觉障碍和疼痛,提高生活质量,而且不增加复发风险。

The Clinical Significance of Intercostobrachial Nerve Reservation in the Modified Radical Mastectomy

ObjectiveTo study feasibility and clinical signiticance of preserving intercostobrachial nerve(ICBN) in radical mastectomy for breast cancer.Methods A retrospective analysis was conducted in 105 patients with stage Ⅰ/Ⅱ breast cancer underwent modified mastectomy.The ICBN was kept in experimental group(56 cases),but removed in the control group(49cases) during the operation.Sensory function of the medical upper arm of all patients was followed up after surgery.ResultsFeels obstacle rate of arm in experimental group was 10.7%,and in control was 69.3%,there showed significantly differences(P<0.01).All patients were followed up for 3 years without local recurrence.ConclusionRetaining ICBN in the modified radical mastectomy for stage Ⅰ/Ⅱ breast cancer can significant reduce postoperation pain and sensory dysfunction in the axilla an upper medial arm of the effected side,and thus improve the quality of life,without increasing the recurrence risk.