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目的:探讨保留肋间臂神经在早期乳腺癌腋窝淋巴结清扫术中的可行性及临床应用价值。方法:70例Ⅰ、Ⅱ期乳腺癌行腋窝淋巴结清扫术病人被分为两组,其中肋间臂神经保留组32例,肋间臂神经切除组38例。术后对病人上臂内侧感觉功能进行对比分析。结果:保留肋间臂神经与不保留肋间臂神经两组患者术后2周时,切除ICBN者36例均有上臂内侧和腋部皮肤麻木,其中12例有持续疼痛;而32例保留ICBN者中仅4例产生麻木,2例疼痛。结论:在早期乳腺癌(Ⅰ、Ⅱ期)改良根治术中施行保留肋间臂神经是可行的,它保存了患侧上臂内侧及腋部皮肤感觉功能,改善病人的生活质量,具有一定临床价值。
Objective: To investigate the feasibility and clinical value of preserving intercostobrachial nerve in the axillary lymph node dissection of early breast cancer. Methods: A total of 70 patients with stage I and II breast cancer who underwent axillary lymph node dissection were divided into two groups. Among them, 32 were intercostobrachial nerve preservation group and 38 intercostobrachial nerve resection group. After the operation of the upper arm of patients with sensory function comparative analysis. Results: In the two weeks after operation, 36 patients with ICBN were numb in the medial upper arm and axillary skin, and 12 of them had persistent pain. In 32 patients, ICBN Only 4 patients had numbness and 2 had pain. Conclusion: It is feasible to preserve intercostobrachial nerve in modified radical mastectomy of early stage breast cancer (stage Ⅰ, Ⅱ). It preserves the skin sensory function of medial and axillary upper limbs and improves the quality of life of patients with certain clinical value .