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保留肋间臂神经在乳腺癌术中的应用 被引量:6

Preservation of the intercostobrachial nerve during operation for breast cancer
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摘要 目的探讨乳腺癌改良根治术中保留肋间臂神经的作用。方法选择100例Ⅰ,Ⅱ期乳腺癌患者术中保留肋间臂神经,术后进行观察并随访。结果91例术后无上肢感觉异常,9例出现上臂内侧感觉异常。结论保留肋间臂神经可以明显减少术后患侧上肢感觉异常的发生率,提高术后的生活质量。 Objective To evaluate the effect of preserving the intereostobrachial nerve (ICBN) during modified radical mastectomy for breast cancer. Methods Preservation of ICBN during modified radical mastectomy was performed in 100 patients with stage I or stage Ⅱ breast carcinoma. All patients were followed up after operation. Results Ninty-one patients had normal sensation of the skin of upper arm on operated side, while medial side paresthesia of the upper arm occurred in 9 cases within the postoperative follow up period. Conclusions Preserving the intereostobrachial nerve in modified radical mastectomy for patients with breast cancer can decrease the incidence of abnormal sensation of the skin of affected upper arm, and improve the quality of life of patients after operation.
作者 吴秀萍
出处 《中国普通外科杂志》 CAS CSCD 2007年第11期1091-1092,共2页 China Journal of General Surgery
关键词 乳腺肿瘤/外科学 臂神经/外科学 Breast Neoplasms/surg Intercostobrachial Nerve/surg
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  • 1Walley J,Temple H,Alfred S,et al.Preservation of intercostobrachial nerve during axillary dissection for breast cancer[].The American Journal of Surgery.1985
  • 2Carpenter JS,Sloan P,Andrykowski MA,et al.Risk factors for pain after mastectomy lumpectomy[].Cancer Practice.1999
  • 3Paredes JP,Puente JL,Potel J.Variations in sensitivity after sectioning the intercostobrachial nerve[].The American Journal of Surgery.1990

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