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

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (5): 591-593.

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

韩中保¹，　周　羽²，　韩扣兰²

盐城卫生职业技术学院 1.解剖学教研室，　2.临床教研室，江苏盐城 224006

收稿日期:2010-12-20 出版日期:2011-09-25 发布日期:2011-09-29
作者简介:韩中保(1966-)，男，江苏盐城，学士，副教授，主要研究方向：解剖学与临床结合，多媒体技术与网络课程建设，Tel：13914648805

Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients

HAN Zhong-bao¹，ZHOU Yu²，HAN Kou-lan²

1.Department of Anatomy, 2. Department of Clinic, Yancheng Heath Vocational and Technical College，Yancheng 224006, Jiangsu Province, China

Received:2010-12-20 Online:2011-09-25 Published:2011-09-29

摘要/Abstract

摘要：

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。

关键词: 乳腺癌, 改良根治术, 肋间臂神经

Abstract:

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.

Key words: Breast cancer, Modified radical mastectomy, Intercostobrachial nerve(ICBN)

中图分类号:

R655.8

韩中保, 周羽, 韩扣兰. 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[J]. 中国临床解剖学杂志, 2011, 29(5): 591-593.

HAN Zhong-Bao, ZHOU Hu, HAN Kou-Lan. Breast cancer radical mastectomy preserving intercostobrachial nerve: improve the quality of life for postoperative patients[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(5): 591-593.

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