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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可行性和临床意义。方法 43例乳腺癌患者在行腋淋巴结清扫时,游离并保留腋下脂肪组织中的肋间臂神经,术后测试上臂内后侧的感觉功能,观察其效果。结果 41例成功保留肋间臂神经,术后上臂内后侧感觉异常发生率为4.9%(2/41),3周后症状消失,经1～4年随访,未发现局部复发和远处转移。结论乳腺癌改良根治术中腋淋巴结清扫时保留肋间臂神经可明显减少上臂内后侧感觉障碍的发生率,减轻患者的心理负担,提高乳腺癌患者术后的生活质量,且不增加局部复发和远处转移的风险。
Objective To investigate the feasibility and clinical significance of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods 43 cases of breast cancer patients undergoing axillary lymph node dissection free and retain the intercostobrachial nerve in the axillary adipose tissue. After the test, the sensory function of the posterior upper arm was observed and the effect was observed. Results The success rate of intercostobrachial nerve was retained in 41 cases (4.9% (2/41)). The symptoms disappeared after 3 weeks. No local recurrence or distant metastasis was found after 1 to 4 years of follow-up . CONCLUSION: The preservation of the intercostobrachial nerve during axillary lymph node dissection in modified radical mastectomy can significantly reduce the incidence of posterior sensation in the upper arm, reduce the psychological burden of patients and improve the postoperative quality of life of patients with breast cancer without increasing the recurrence rate And the risk of distant metastasis.