保留肋间臂神经乳腺癌改良根治术疗效观察.docVIP

保留肋间臂神经的乳腺癌改良根治术的疗效观察 　　[摘要]目的 研究保留肋间臂神经的乳腺癌改良根治术的疗效。方法 病例资料来源于我院2012年3月～2014年10月收治的行乳腺癌改良根治术治疗的65例患者，根据密封信封随机分组法将其分为保留组和非保留组。非保留组术中将肋间臂神经切除；保留组术中保留肋间臂神经。比较两组患者的手术操作时间、术中失血量、淋巴结清扫数量、异常感觉皮肤面积、术后并发症发生率及术后生活质量水平。结果 保留组患者手术操作时间、术中失血量、淋巴结清扫数量均与非保留组相似，差异无统计学意义（P0.05）。保留组患者异常感觉皮肤面积低于非保留组，差异有统计学意义（P0.01）。保留组术后并发症发生率低于非保留组，差异有统计学意义（P0.01）。保留组患者术后生活质量明显高于非保留组，差异有统计学意义（P0.01）。结论 保留肋间臂神经的乳腺癌改良根治术的疗效确切，可有效避免腋窝和上臂等部位皮肤感觉障碍的出现，有利于减少术后并发症，促进术后生活质量的提升，值得推广。 　　[关键词]保留肋间臂神经；乳腺癌改良根治术；疗效 　　[中图分类号]R737.9 [文献标识码]A [文章编号]1674-4721（2016）06（b）-0041-03 　　Effect observation of modified radical mastectomy for breast cancer by preserving intercostobrachial nerve 　　MAI Zi-jian LIU Yang 　　Department of Thoracic Surgery，Guangzhou Twelfth People′s Hospital，Guangzhou 510000，China 　　[Abstract]Objective To study the effect of modified radical mastectomy for breast cancer by preserving intercostobrachial nerve.Methods Clinical data was from 65 patients undergone modified radical mastectomy for breast cancer from March 2012 to October 2014 in our hospital.According to randomly sealed envelope，they were divided into two groups of preserved group and non-preserved group.In the non-preserved group，intercostobrachial nerve was removed，while in the preserved group，intercostobrachial nerve was kept.The operation time，intraoperative amount of bleeding，number of lymph node dissection，abnormal sensation of skin area，and incidence of postoperative complications in the two groups were compared.Besides，the difference on quality of life after surgery was compared.Results In the preserved group，the operation time，intraoperative amount of bleeding，and number of lymph node dissection were similar to those in the non-preserved group ，the difference was not statistically significant （P0.05）.In the preserved group，abnormal sensation of skin area was smaller than that in the non-preserved group，the difference was statistically significant （P 　　[Key words]Preserving intercostobrachial nerve；Modified radical mastecto