论文部分内容阅读
目的研究分析肋间臂神经的保留在乳腺癌改良根治术中的应用价值。方法回顾性的分析2007年10月至2009年10月我院收治的乳腺癌行改良根治术的患者108例的临床资料,其中76例患者保留肋间臂神经(试验组),其余32例未能保留肋间臂神经(对照组),术后随访2年,比较两组患者发生局部感觉障碍的发生率和复发率。结果对照组患者术后发生局部感觉障碍18例,发生率为56.25%,观察组患者术后发生局部感觉障碍8例,发生率为10.53%,两组比较差异具有显著统计学意义(P<0.01);对照组患者术后复发1例,复发率为3.13%,观察组患者术后复发3例,复发率为3.95%,两组比较差异无统计学意义(P>0.05)。结论肋间臂神经的保留能减轻乳腺癌改良术后患者患侧胸壁和上臂内侧的的麻木疼痛感觉,减少乳房切除术后疼痛综合征的发生,有利于患者术后的高质量生活,并且无增加复发的风险,应用前景广泛。
Objective To study the value of intercostobrachial nerve preservation in modified radical mastectomy for breast cancer. Methods The clinical data of 108 patients with modified radical mastectomy in our hospital from October 2007 to October 2009 were retrospectively analyzed. Among them, 76 patients had intercostobrachial nerve (experimental group) and the remaining 32 patients did not Can retain the intercostobrachial nerve (control group), followed up for 2 years, the incidence of local sensory disturbances and recurrence rates were compared between the two groups. Results In the control group, there were 18 cases of local sensory disturbance, the incidence rate was 56.25%. There were 8 cases of local sensory disturbance in the observation group, the incidence rate was 10.53%. There was significant difference between the two groups (P <0.01 ). In the control group, 1 patient recurred after operation, the recurrence rate was 3.13%. In the observation group, 3 patients relapsed after operation, the recurrence rate was 3.95%. There was no significant difference between the two groups (P> 0.05). Conclusion The reservation of intercostobrachial nerves can reduce the numbness pain sensation in the affected side of chest wall and upper arm of patients with modified breast cancer and reduce the incidence of post-mastectomy pain syndrome, which is good for patients’ postoperative high quality of life. Increase the risk of recurrence, the application of a wide range of prospects.