早期乳腺癌术中保留肋间臂神经和胸前神经的效果

    The curative effect of preserving intercostobrachial nerve and anterior thoracic nerve in early mastectomy

    • 摘要: 目的: 探讨保留肋间臂神经(ICBN)和胸前神经(ATN)在早期乳腺癌手术中的效果和临床意义。方法: 回顾性分析120例2008年5月至2011年5月确诊为早期乳腺癌行乳腺癌改良根治术患者的临床资料。其中完整保留ICBN和ATN的65例(保留组), 切断ICBN和ATN 55例(切断组)。术后对2组患侧胸肌萎缩情况和上臂内侧感觉进行比较, 并观察肿瘤局部复发和远处转移情况。结果: 保留组患侧上臂内侧感觉异常和胸大肌萎缩程度均明显低于切断组(P<0.01)。随访6~36个月, 2组均无肿瘤局部复发和远处转移。结论: 乳腺癌改良根治术中保留ICBN和ATN可有效减少患侧胸肌萎缩, 减少上肢并发症且不增加患者复发转移危险。

       

      Abstract: Objective: To investigate the therapeutic effects of preserving intercostobrachial nerve(ICBN) and anterior thoracic nerve(ATN) in early mastectomy.Methods: The clinical data of 120 early breast cancer female patients treated with modified radical mastectomy were retrospectively analyzed from May 2008 to May 2011.The ICBN and ATN in 65 cases were intactly preserved(preserving group),the ICBN and ATN in 55 cases were resected(resection group).The ectopectoralis atrophy,medial feeling of upper arm,tumor local recurrence and distant metastasis between two groups were compared after operation.Results: The medial abnormal feeling of upper arm and ectopectoralis atrophy in preserving group were significantly lower than those in resection group(P<0.01).The tumor local recurrence and distant metastasis in two groups were not found during the 6 to 36 months of follow-up.Conclusions: Preserving the ICBN and ATN in modified radical mastectomy can effectively reduce the ectopectoralis atrophy and complications of upper arm,and which does not increase the risks of recurrence and metastasis of tumor.

       

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