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目的:探讨乳腺癌改良根治术中保留肋间臂神经(ICBN)的临床意义。方法:将71例行改良根治术治疗的Ⅰ~III期乳腺癌患者按术中是否保留ICBN分为保留组即观察组(n=39)和未保留组即对照组(n=32),对照分析2组患者手术时间、出血量、淋巴结清扫数目、并发症发生率及术后上臂内侧感觉功能。结果:2组手术时间、出血量、淋巴结清扫数目和并发症发生率比较差异均无统计学意义(P>0.05),而术后1个月和3个月对照组上臂皮肤感觉异常的发生率明显高于观察组(P<0.05)。结论:乳腺癌改良根治术中保留肋间臂神经可有效保留上臂内侧皮肤的感觉功能。
Objective: To investigate the clinical significance of preserving intercostobrachial nerve (ICBN) in modified radical mastectomy for breast cancer. Methods: Seventy-one patients with stage Ⅰ-Ⅲ breast cancer who underwent modified radical mastectomy were divided into two groups according to whether ICBN was reserved or not: observation group (n = 39) and control group (n = 32) The operation time, blood loss, number of lymph node dissection, incidence of complications and postoperative upper arm sensory function were analyzed. Results: There were no significant differences in the operation time, the amount of bleeding, the number of lymph node dissection and the incidence of complications in the two groups (P> 0.05), while the incidence of upper skin sensory abnormalities in the control group at 1 month and 3 months after operation Significantly higher than the observation group (P <0.05). Conclusion: The preservation of the intercostobrachial nerve in modified radical mastectomy can effectively preserve the sensory function of the medial upper arm.