摘要
目的：探讨腔镜辅助下腋窝淋巴结清扫术中是否保留肋间臂神经对患者术后患侧上臂内侧及腋窝皮肤感觉的影响。方法回顾性分析2013年2月———2014年3月期间在我院我科接受腔镜辅助下乳腺癌腋窝淋巴结清扫术的62例 I、II 期乳腺癌患者的临床资料，包括保留肋间臂神经组（实验组）32例和切除肋间臂神经组（对照组）30例。比较两组术后2周、1月、3月、6月患肢上臂内侧及腋窝感觉变化情况。结果保留肋间臂神经组（实验组）术后2周、1月、3月、6月患侧上臂内侧及腋窝皮肤感觉异常发生率（12．5％、12．5％、12．5％、6．25％）显著低于切除肋间臂神经组（对照组）（70％、70％、60％、60％），组间差异有统计学意义（P ＜0．01）。结论：在进行腔镜辅助下乳腺癌腋窝淋巴结清扫术时保留肋间臂神经可显著减轻术后患者患侧上肢内侧及腋窝感觉障碍，改善患者生活质量。
Abstract
Objective:To study the endoscopic assisted axil ary lymph node dissection ef ect of intercostobrachial nerve on postoperative patients with medial upper arm and axil ary skin feel whether sparing surgery.Methods Retrospective analysis of 2013 February --2014 March in our hospital clinical data in our department received video -assisted breast cancer axil ary lymph node dissection in 62 patients with I,patients with stage II breast cancer,including the preservation of intercostobrachial nerve group (experimental group)and 32 cases of resected inter-costobrachial nerve group (control group)30 cases.Comparison of the two groups after 2 weeks in January,March,June,af ected upper medial arm and axil a limb sensory changes the situa-tion.The results of preserving intercostobrachial nerve group (experimental group)after 2 weeks in January,June,March,the ipsilateral medial arm and axil a skin feel abnormal rate (12.5%, 12.5%,12.5%,6.25%)was significantly lower than that of resected intercostobrachial nerve group (control group)(70%,70%,60%,60%),there is statistical significance the dif erence between groups (P <0.01).Conclusion:in video -assisted breast cancer axil ary lymph node dissection preserving intercostobrachial nerve can significantly reduce the postoperative patients of upper limb axil ary inside and sensory disturbance,improve the life quality of patients.
NETL
NSTL
维普
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