文档介绍：保留肋间臂神经在乳腺癌改良根治术中的应用及临床意义
(作者:___________单位: ___________邮编: ___________)
作者:赵延峰黎辉蒋国旭崔澂
【摘要】目的探讨保留肋间臂神经(ICBN)在乳腺癌腋淋巴结清扫术中的可行性及临床应用价值。方法 76例乳腺癌患者在行腋淋巴结清扫时,游离并保留腋下脂肪组织中的ICBN,术后测试患侧上臂内后侧的感觉功能变化。%(4/76),2周后症状消失,经1~6个月随访均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留ICBN,可明显减少乳房切除术后疼痛综合征(PMPS)的发生率,有利于改善患者术后的生存质量,具有一定的临床应用价值。
【关键词】乳腺癌; 肋间臂神经; 腋窝淋巴结清扫
【Abstract】 Objective To investigate the possibility and clinical significance of reserving intercostobrachial nerve(ICBN) during the modified radical mastectomy. Methods 76 cases of breast carcinoma were treated by the modified radical mastectomy. The intereostobrachial nerves were saved in lymph node dissection. After operation, the sensation of ill side
’s upper arm was observed. Results % patients had abnormal sensation on the skin of medial upper arms after operation, and the symptoms disappeared 2 weeks later. No recurrence was found during 1 to 6month. follow Reserving ICBN in axillary lymph node dissection for the patients with breast cancer, which has certain clinical values, can obviously reduce the incidence of pain syndrome and improve the life quality of the patients after operations.
【Key words】 Breast carcinoma;Intercostobrachial nerve;Axillary lymph node dissection
目前乳腺癌仍是严重威胁女性身心健康的疾病之一。腋窝淋巴结清扫是乳腺癌外科手术治疗的重要术式,传统手术不保留肋间臂神经(intercostobrachial nerve, ICBN),常导致患者术后出现臂腋部疼痛及感觉异常,明显降低生活质量。我科自2004年2月以来