乳腺癌改良根治术中保留肋间臂神经临床疗效分析.docVIP

乳腺癌改良根治术中保留肋间臂神经的临床疗效分析 　　[摘要] 目的 探讨乳腺癌改良根治术中保留肋间神经的临床效果及可行性。方法 整群选取该院2011年1月―2015年6月收治的116例Ⅰ、Ⅱ期乳腺癌女性患者分为两组，保留组74例患者术中保留肋间神经，切除组42例患者切除肋间神经，分析比较两组患者手术时间、住院天数、术中出血量、清除病灶数及术后感觉障碍发生率等情况。结果 两组患者手术时间、住院天数、术中出血量及清除病灶数之间差异无统计学意义（P0.05）；保留组术后感觉障碍（16.22%）显著少于切除组（47.62%），差异有统计学意义（P0.05）。 结论 乳腺癌改良根治术中保留肋间神经能够保证良好临床疗效，减少术后感觉障碍发生，提高了患者生存质量，值得推广。保留组（16.22%）术后感觉障碍显著少于切除组（47.62%） 　　[关键词] 乳腺癌；肋间神经；改良根治术 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-0742（2016）05（b）-0127-02 　　[Abstract] Objective To discuss the clinical effect and feasibility of preserving intercostobrachial nerve in modified radical mastectomy. Methods 116 cases of female patients with breast cancer of stageⅠand Ⅱtreated in our hospital from January 2011 to June 2015 were divided into two groups， the preserving group（74 cases） preserved intercostobrachial nerve in operation， the removal group （42 cases） removed intercostobrachial nerve， and the operation time， length of stay， intraoperative blood loss， removing lesion number， incidence rate of postoperative sensory disturbance and other conditions of the two groups were analyzed and compared. Results The differences in the operation time， length of stay， intraoperative blood loss and removing lesion number between the two groups had no statistical significance， P0.05； the incidence rate of postoperative sensory disturbance in the preserving group was obviously fewer than that in the removal group with statistical significance （16.22% vs 47.62%）， P0.05. Conclusion Preserving intercostobrachial nerve in modified radical mastectomy can ensure a good clinical curative effect， reduce the occurrence of postoperative sensory disturbance and improve the survival quality of patients， which is worth promotion. 　　[Key words] Breast cancer； Intercostobrachial nerve； Modified radical operation 　　乳腺癌是女性乳腺高发恶性肿瘤之一，常见于患者乳腺上皮组织，其发病率呈逐年上升趋势，且发病年龄呈年轻化，若乳腺中游离的癌细胞转移，会严重危害患者身心健康[1]。乳腺癌临床表现为乳腺疼痛、肿块、皮肤凹陷、乳头异常及腋窝淋巴结肿等，目前临床医治乳腺癌主要通过改良根治术治疗，在治疗Ⅰ、Ⅱ期乳腺癌患者时传统乳腺癌改良根治术以保留患者胸长神经和胸背神经为主，不保留肋间神经（inter