论文部分内容阅读
目的比较保留肋间臂神经的乳腺癌改良根治术与常规乳腺癌改良根治术的临床疗效。方法 88例接受保留肋间臂神经的乳腺癌改良根治术的患者作为A组,88例接受常规乳腺癌改良根治术的患者作为B组。比较两组患者的临床疗效。结果 A组和B组患者的手术时间、淋巴结清扫数量比较差异无统计学意义(P>0.05);随访1年,两组均未出现死亡、复发患者,A组患者术后上臂内侧感觉异常的发生率为7.95%,明显低于B组的27.27%,差异具有统计学意义(P<0.05)。结论保留肋间臂神经的乳腺癌改良根治术治疗乳腺癌的短期效果与常规乳腺癌改良根治术相似,但是对于肋间臂神经的影响小,可减少术后感觉障碍的发生,对于提高患者生活质量的价值较高。
Objective To compare the clinical efficacy of modified radical mastectomy for breast cancer with preserved intercostobrachial nerve and radical mastectomy for conventional breast cancer. Methods Eighty-eight patients undergoing modified radical mastectomy for breast cancer with intercostobrachial nerve preservation were enrolled as group A, and 88 patients undergoing modified radical mastectomy for conventional breast cancer as group B. The clinical efficacy of the two groups was compared. Results There was no significant difference in the number of operation time and lymph node dissection among patients in group A and group B (P> 0.05). One year after follow-up, there were no deaths in both groups. Patients in group A and group A had abnormal sensations in the upper arm after operation The incidence was 7.95%, which was significantly lower than that of group B (27.27%), the difference was statistically significant (P <0.05). Conclusions The short-term effect of modified radical mastectomy for intercostobrachial nerve in the treatment of breast cancer is similar to that of conventional radical mastectomy. However, the effect on the intercostobrachial nerve is small, which can reduce the incidence of postoperative sensory disturbances and improve the life of patients The value of quality is higher.