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[目的]探讨在乳腺癌改良根治术中保留肋间臂神经的可行性及临床效果。[方法]选择拟行乳腺癌改良根治术患者63例,34例在术中成功保留肋间臂神经(保留组),29例未保留肋间臂神经(未保留组)。术后随访观察两组患者上臂感觉功能。[结果]保留组患者术后出现上臂的感觉障碍率为14.7%(5/34),未保留组术后出现上臂的感觉障碍率为65.5%(19/29),两组比较有显著性差异(χ2=17.13,P=0.0003)。两组患者腋窝清扫淋巴结数目无显著性差异(χ2=0.923,P=0.337)。[结论]乳腺癌患者在遵循肿瘤根治原则基础上保留肋间臂神经是可行的,可以明显降低患者术后上臂感觉障碍率,有助于提高患者术后生活质量。
[Objective] To investigate the feasibility and clinical effect of preserving intercostobrachial nerve in modified radical mastectomy of breast cancer. [Method] Sixty-three patients undergoing modified radical mastectomy for breast cancer were selected, 34 patients successfully retained intercostobrachial nerve (reserved group) and 29 patients did not retain intercostobrachial nerve (reserved group). Follow-up observation of the two groups of patients with upper arm sensory function. [Results] The sensory disturbance rate of the upper arm was 14.7% (5/34) in the retention group and 65.5% (19/29) in the upper arm in the unreserved group, there was a significant difference between the two groups (χ2 = 17.13, P = 0.0003). There was no significant difference in the number of axillary lymph nodes between the two groups (χ2 = 0.923, P = 0.337). [Conclusion] It is feasible for breast cancer patients to retain the intercostobrachial nerve on the basis of following the principle of tumor radicalization, which can significantly reduce the postoperative upper arm sensory disturbance rate and improve the postoperative quality of life of patients.