乳腺癌患者保留肋间臂神经的临床意义.docVIP

乳腺癌患者保留肋间臂神经的临床意义 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：乳腺癌患者保留肋间臂神经的临床意义 1 1 资料与方法 3 11 一般资料 3 12 手术方法 3 13 统计方法 3 2 结果 4 3 讨论 4 31 肋间臂神经的解剖 4 32 乳腺癌腋淋巴结清扫术中切除肋间臂神经对上肢感觉的影响 5 321 疼痛 5 322 感觉 6 文2：乳腺癌改良根治术保留肋间臂神经的临床意义 8 1　资料与方法 8 2　结果 9 3　讨论 9 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 13 正文 乳腺癌患者保留肋间臂神经的临床意义 文1：乳腺癌患者保留肋间臂神经的临床意义 【ABSTRACT】 Objective：: To investigate the clinical significance of reserving intercostobrachial nerve during axillary dissection for breast : From January 2000 to December 2001, 69 patients with breast cancer were reservation intercostobrachial nerve and 34 patients were of them were followed up for 3 : In the group of reservating intercostobrachial nerve, 48 patients have no change in seation, 11 patients have anesthesia, one has burning seation, and 9 patients have in the group of resecting intercostobrachial nerve, 3 patients have axillary absent sweating, 18 patients have anesthesia, 4 patients have burning seation, and 9 patients have is significant difference between the two groups（χ2=481570; P＜005）; In the group of reservation intercostobrachial nerve, 58 patients have no pain feeling in the affected limb, and 11 patients have pain feeling in the affected limb But in the group of resecting intercostobrachial nerve, 5 patients have no pain feeling in the affected limb, and 29 patients have pain feeling in the affected limbThere is significant difference between the two groups（χ2=461194; P＜005）.Conclusin: Reserving intercostobrachial nerve during breast cancer operation could significantly decrease the incidence of seory disability and pain in the affacted limb, and improve the quality of life for patients with breast cancer 【KEY WORDS】 breast cancer;Intercostobrachial nerve; Axillary lymph nodes resection 随着乳腺癌患者对生活质量要求的提高，保留肋间臂神经的手术正逐渐被广泛应用。为明确乳腺癌患者保留肋间臂神经对术后生活质量、上肢功能的重要意义，我们对103例乳腺癌术后患者进行了随访调查研究。 1 资料与方法 11 一般资料 20001~200112月间，于天津医科大学附属肿瘤医院肿瘤外科手术 治疗 、经病理确诊且临床资料完整的乳腺癌患者共103例。全部为女性。年龄3