论文部分内容阅读
目的:探讨在乳腺癌根治手术中保留肋间臂神经的实际意义。方法:选取在我院乳腺癌根治手术的患者25例,其中完全保留肋间臂神经的患者为15例,切除肋间臂神经的患者为10例,观察2组患者术后上臂内侧的感觉功能。结果:25例患者在术后的两次随访中都未查出肿瘤复发和转移,其中保留肋间臂神经的患者,12例上臂内侧皮肤感觉恢复正常,3例感觉出现异常;切除肋间臂神经患者术后全部感觉异常;术后疼痛:实验组1周2例(13.33%)、3月0%,对照组1周6例(60.00%)、3月2例(20.00%)。结论:在乳腺癌根治手术中保留肋间臂神经能够有效恢复患者上臂内侧的感觉功能,还能减轻患者的疼痛,改善术后的生活质量。
Objective: To explore the practical significance of preserving the intercostobrachial nerve in the radical operation of breast cancer. Methods: 25 cases of radical mastectomy for breast cancer in our hospital were selected. Among them, 15 cases were completely preserving intercostobrachial nerve and 10 cases were resected with intercostobrachial nerve. The sensory function of the upper arm after operation . Results: Tumor recurrence and metastasis were not found in 25 patients after two follow-up visits. Among them, patients with intercostobrachial nerves had normal sensation in the medial upper arm and sensory abnormalities in 3 patients. Nerve patients had abnormal sensations after operation. Postoperative pain was found in 2 cases (13.3%) in the experimental group and 0% in March, 6 cases (60.00%) in the control group and 2 cases (20.00%) in March. CONCLUSION: The preservation of intercostobrachial nerve in radical operation of breast cancer can effectively restore the sensory function of the medial upper arm of the patient, reduce the pain of the patient and improve the postoperative quality of life.