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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 study the preservation of intercostobrachial nerves in axillary lymph node dissection with modified radical mastectomy and to explore the effect of this operation on postoperative quality of life. Methods Based on the Anchincloss operative procedure of radical mastectomy for stage I and stage II breast cancer patients, 150 patients with stage I and II breast cancer were randomly selected and randomly divided into reservation Group and resection group. Results The incidence of adverse main complaints such as abnormal sensation and pain in the superior posteromedial arm of the reserved group was significantly lower than that of the control group (P <0.01). The local recurrence and distant metastasis rate No statistical difference. Conclusion Stage I, stage Il breast cancer patients underwent modified radical mastectomy to preserve the intercostobrachial nerve, reduce the occurrence of postoperative pain syndrome and improve the postoperative quality of life of patients. The clinical application is feasible and worthy of popularization and application.