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目的:对乳腺癌改良根治术中保留肋间臂神经的临床价值进行分析。方法:选取我院2010年8月-2014年8月收治的120例乳腺癌患者作为研究对象,随机分为观察组与对照组各60例。观察组保留肋间臂神经,对照组切除肋间臂神经。结果:对比两组患者的手术时间、淋巴结清扫总数,差异无统计学意义(P>0.05);对比两组患者术后1周、1月、3月和6月上臂感觉障碍情况,观察组患者术后上臂感觉障碍发生率明显低于对照组(P<0.05);对比两组患者术后并发症发生率,观察组术后并发症发生率为5%,对照组为20%,明显高于观察组(P<0.05)。结论:乳腺癌患者在接受改良根治术进行治疗的过程中保留肋间臂神经,可有效改善患者生存质量,降低患侧上臂内侧感觉障碍发生率。
Objective: To analyze the clinical value of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods: A total of 120 patients with breast cancer who were treated in our hospital from August 2010 to August 2014 were selected and randomly divided into observation group (60 cases) and control group (60 cases). The observation group retained the intercostobrachial nerve, while the control group was removed the intercostobrachial nerve. Results: There was no significant difference between the two groups in the operation time and the total lymph node dissection (P> 0.05). The upper arm sensory disturbance in the two groups were compared at 1 week, 1 month, 3 months and 6 months after operation. The incidence of postoperative upper arm sensory disturbance was significantly lower than that of the control group (P <0.05). Comparing the incidence of postoperative complications between the two groups, the incidence of postoperative complications was 5% in the observation group and 20% in the control group Observation group (P <0.05). Conclusion: Breast cancer patients retain the intercostobrachial nerve during the treatment of modified radical mastectomy, which can effectively improve the quality of life and reduce the incidence of medial upper arm sensory disturbance.