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目的:探讨乳腺癌腋窝淋巴结清扫术保留肋间臂神经的价值。方法:对天津医科大学附属肿瘤医院2000.1~2001.12月间69例保留肋间臂神经和34例切除肋间臂神经的乳腺癌患者进行随访。结果:肋间臂神经保留组术后48例无感觉方面上的变化,11例发生感觉麻木,1例上肢出现烧灼感,9例上肢出现感觉减退;而肋间臂神经切除组术后3例出现腋窝无汗,18例发生感觉麻木,4例上肢出现烧灼感,9例上肢出现感觉减退。两组之间在统计学上有显著性差异(χ2=48.1570;P<0.05);肋间臂神经保留组58例术后未发生患肢疼痛,11例发生患肢疼痛;而肋间臂神经切除组5例术后未发生患肢疼痛,29例术后发生患肢疼痛。两组患者之间在统计学上有显著性差异(χ2=46.1194;P<0.05)。结论:乳腺癌患者保留肋间臂神经可以明显减少术后患侧上肢感觉障碍和疼痛的发生,从而提高患者的生活质量。
Objective: To investigate the value of axillary lymph node dissection for preserving intercostobrachial nerve in breast cancer. Methods: Totally 69 breast cancer patients with intercostobrachial nerve and 34 patients with intercostobrachial intercostal nerve were removed from the Tumor Hospital of Tianjin Medical University from January 2001 to December 2001. Results: There were no sensory changes in 48 cases after operation in the intercostobrachial nerve preservation group, sensory numbness in 11 cases, burning sensation in 1 case, and sensory loss in 9 cases. In 3 cases Armpit appeared no sweat, sensory numbness occurred in 18 cases, 4 cases of upper extremity burning sensation, 9 cases of upper extremity sensory decline. There were statistically significant differences between the two groups (χ2 = 48.1570; P <0.05); in the intercostobrachial nerve preservation group, 58 cases had no limb pain and 11 cases had limb pain. The intercostobrachial nerve In the resection group, no limb pain occurred in 5 cases, and limb pain occurred in 29 cases. There was a statistically significant difference between the two groups of patients (χ2 = 46.1194; P <0.05). Conclusion: The preservation of intercostobrachial nerve in patients with breast cancer can significantly reduce the incidence of upper extremity sensory disturbances and pain in patients with postoperative pain, thereby improving the quality of life of patients.