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目的探讨保留肋间臂神经(ICBN)在乳腺癌腋淋巴结清扫术中的临床意义。方法分析129例I期、II期及Ⅲa期乳腺癌腋淋巴结清扫术患者,其中保留组70例,切除组59例,对患者进行随访观察。结果保留组与切除组患者术后0.5、3、12个月时腋窝、上臂内侧皮肤障碍发生率比较有显著性差异。随访1~3年,129例均未见局部复发及远处转移。结论保留肋间臂神经能显著减少患者腋窝和上臂内侧皮肤障碍的发生率,在乳腺癌腋淋巴结清扫术中是安全可行的,值得临床推广。
Objective To investigate the clinical significance of preserving intercostobrachial nerve (ICBN) in axillary lymph node dissection of breast cancer. Methods 129 patients with stage I, II and IIIa breast cancer with axillary lymph node dissection were analyzed. Among them, 70 were reserved and 59 were resected. The patients were followed up. Results The incidences of skin disorders in the axillary and upper arms at 0.5, 3 and 12 months after operation were significantly different between the retention group and the resection group. Follow-up 1 to 3 years, 129 cases were no local recurrence and distant metastasis. Conclusion The preservation of intercostobrachial nerve can significantly reduce the incidence of axillary and upper medial arm skin lesions in patients with breast cancer axillary lymph node dissection is safe and feasible, worthy of clinical promotion.