乳腺癌改良根治中保留肋间臂神经的临床意义.pdfVIP

摘 要 乳腺癌改良根治术中保留肋间臂神经 的临床意义 研究生：卡哈尔江.阿不都外力 导师：栾梅香教授 摘 要 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：90 例乳腺癌患 者拟行乳腺癌改良根治术，术中清扫腋窝淋巴结时保留肋间臂神经74 例，未能保留 16 例，术后分阶段对患者患侧上臂内侧皮肤感觉功能进行随访观察。结果：保留和 未能保留肋间臂神经的患者术后患侧上肢内侧均出现不同程度的疼痛及感觉异常， 74 例保留肋间臂神经的患者术后疼痛及感觉异常的程度较16例未能保留肋间臂神经 的患者轻，症状持续及缓解恢复的时间短，疼痛症状缓解最为明显，切断肋间臂神 经的患者症状多不能在短时间内缓解及完全恢复；术后随访6～36 个月，90 例均无 肿瘤局部复发。结论：在乳腺癌腋窝淋巴结清除术中，保留肋间臂神经是可行的， 可以明显减少术后患侧上肢疼痛及感觉障碍，有利于提高生活质量，应在临床上推 广应用。 关键词：乳腺肿瘤；肋间臂神经；改良根治术；淋巴结清扫术 —1— 新疆医科大学医学硕士学位论文 The clinical significance of intercosto-brachial nerve reservation in the modified radical mastectomy of breast cancer Postgraduate ：Kahaerjiang.Abuduwaili Supervisor：Luan Mei-xiang Abstract Objective ：To investigate the clinical significance of intercostobrachial nerve(ICBN) reservation in the modified radical mastectomy of breast cancer. Methods ：90cases of breast cancer patients were in progress of in the ameliorative radical resection, ICBN was reserved in 74 cases during axillary lymph node excision,resected in 16 cases.All patients were followed up for the sensory function of internal upper arm affter operations. Results ：All of the patients emerged the pain and sensory disturbance in internal upper arm affter operations; the degree and the duration of the the pain and the sensory disturbance were different. The symptoms of the patients of reserving ICBN couldn ’t remittance and recuperate in short term. All patients were followed up 6~36months after operations,there was no one recidivism. Conclusion：It is feasible to reservate ICBN dur