乳腺癌根治术保留肋间臂神经对患者术后生存质量的影响
Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients
目的 对照研究乳腺癌改良根治术腋淋巴结清扫术中对肋间臂神经的保留与否，探讨该术式对患者术后生存质量的影响。 方法 在以往对I期、Il期乳腺癌患者实施乳腺癌根治术Anchincloss术式的基础上进行保留肋间臂神经改良,随机选取了 150例Ⅰ、Ⅱ期女性乳腺癌患者 ,随机均分为保留组和切除组。 结果 保留组的上臂后内侧感觉异常和疼痛等不良主诉的发生率较对照组明显降低，两者比较差异有显著性意义(P<0.01)；随访期内两者的局部复发及远处转移率无统计学差异。 结论 I期、Il期乳腺癌患者行改良根治术保留肋间臂神经，减少了患者术后疼痛综合症的发生，提高了患者术后生活质量，临床应用具有可行性，值得推广应用。
Objective To explore the effects of breast cancer radical mastectomy preserving intercostobrachial nerve (ICBN), on the quality of life for postoperative patients. Methods 150 patients, suffered from breast carcinoma (stage I or II), were performed Anchincloss surgery preserving ICBN or not. All cases were followed up and analyzed. Results For postoperative patients preserving ICBN, it's less to occur paresthesia and pain of the post-medial upper arm, compared to that of patients removing ICBN (P<0.01). However, no difference appeared between two kinds of surgery procedures for local recurrence rate and distant metastasis rate. Conclusions For patients underwent breast cancer radical mastectomy preserving ICBN, it's better to relieve postoperative pain and improve quality of life.
Breast cancer / Modified radical mastectomy / Intercostobrachial nerve(ICBN)
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