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目的探讨乳腺癌改良根治手术中保留肋间臂神经的可行性和方法。方法乳腺癌患者78例,其中49例在改良根治术中保留肋间臂神经,29例未保留肋间臂神经。结果49例保留肋间臂神经的患者中,46例术后腋窝及上臂感觉良好,3例出现感觉障碍,但在短时间内恢复。未保留肋间臂神经的29例患者均出现不同程度的腋窝及上臂感觉障碍。经随访无1例出现局部复发。结论乳腺癌改良根治术中保留肋间臂神经可以预防术后腋窝及上臂感觉障碍的发生,不增加局部复发的风险,应成为乳腺癌改良根治手术的标准组成部分。
Objective To investigate the feasibility and method of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods 78 cases of breast cancer patients, including 49 cases of modified radical mastectomy retained intercostobrachial nerve, 29 cases did not retain intercostobrachial nerve. Results Of the 49 patients with intercostobrachial nerve preservation, 46 had sensory armpits and upper arms, 3 had sensory disturbances, and recovered in a short period of time. 29 patients who did not keep intercostobrachial nerve showed different degree of sensation of armpit and upper arm. No follow-up occurred in 1 case of local recurrence. CONCLUSION: The preservation of intercostobrachial nerve in modified radical mastectomy can prevent the occurrence of postoperative axillary and upper arm sensory disturbances without increasing the risk of local recurrence, and should be the standard component of modified radical mastectomy for breast cancer.