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目的:探讨乳腺癌改良根治术中保留肋间臂神经的临床价值。方法:在35例乳腺癌良根治术中保留肋间臂神经22例,切除肋间臂神经13例。术后对35例患者上臂内侧感觉功能进行随访观察。结果:35例患者随访1～5年,平均2.5年,3例局部复发。保留肋间臂神经22例中术后患侧上臂内侧及腋部皮肤感觉正常19例(86%),感觉异常3例(14%)。切除肋间臂神经的13例患者中11例有感觉异常。结论:在乳腺癌改良根治术中保留肋间臂神经可明显减少术后患侧上臂内侧感觉障碍的发生率,有助于提高患者的生存质量。
Objective: To investigate the clinical value of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods: Twenty-two cases of intercostobrachial nerve and 13 cases of intercostobrachial nerve were removed in 35 cases of radical mastectomy of breast cancer. After operation, the sensory function of the upper arm in 35 patients was followed up. Results: 35 patients were followed up for 1 to 5 years, an average of 2.5 years, 3 cases of local recurrence. In 22 cases of intercostobrachial nerve, the sensation was normal in 19 cases (86%) and sensory abnormality in the medial upper arm and axillary skin in 3 cases (14%). Of the 13 patients who underwent intercostobrachial nerve resection, 11 had sensory abnormalities. CONCLUSION: The preservation of intercostobrachial nerve during radical mastectomy of breast cancer can significantly reduce the incidence of medial upper arm sensory disturbance after operation, and improve the quality of life of patients.