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目的探讨乳腺癌改良根治术中保留肋间臂神经的临床意义。方法 76例乳腺癌改良根治术成功保留肋间臂神经49例,切除27例,术后观察2组临床疗效。结果保留组49例中44例(89.8%)上臂感觉无异常,5例(10.2%)出现感觉异常,无局部肿瘤复发;切除组27例中9例(33.3%)上臂感觉无异常,18例(66.7%)出现感觉异常,无局部肿瘤复发;组间比较差异有统计学意义。结论在乳腺癌改良根治术中采用保留肋间神经不会影响手术效果,且可保留上臂内侧及腋窝皮肤感觉功能,可在临床推广应用。
Objective To explore the clinical significance of preserving intercostobrachial nerve during modified radical mastectomy. Methods Seventy-six cases of modified radical mastectomy for breast cancer successfully retained intercostobrachial nerve in 49 cases, and 27 cases were removed. The clinical efficacy of the two groups was observed postoperatively. RESULTS: In the retained group, 44 cases (89.8%) had no abnormalities in the upper arm, 5 cases (10.2%) had sensory abnormalities, and no recurrence of local tumors; 9 cases (33.3%) had no abnormalities in upper arm in 27 cases (18 cases) in the resection group. (66.7%) had sensory abnormalities and no local tumor recurrence; the difference between the groups was statistically significant. Conclusion The use of preserving the intercostal nerve during modified radical mastectomy for breast cancer does not affect the surgical outcome and preserves the skin sensory function of the medial aspect of the upper arm and the axilla. It can be used in clinical practice.