摘要
目的观察82例保留胸前神经和肋间臂神经的乳腺癌手术的治疗效果。方法选取2012年6月至2013年9月到我院进行乳腺癌手术患者82例作为研究对象,随机将患者分成实验组和对照组,其中研究组45例,使用保留胸前神经和肋间臂神经方式实行手术治疗,对照组患者37例,使用传统乳腺癌手术治疗,对两组患者的治疗效果进行对比。结果对比结果显示,实验组和对照组术中出血量和淋巴结清除数量间的比较差异不大,无统计学意义;研究组实行手术的时间为(82.4±11.8)min明显高于对照组(70.1±10.9)min,差异有统计学意义,(P<0.05);实验组患者手术后转移或者复发率为11.1%,明显低于对照组27.0%,差异有统计学意义,(P<0.05);实验组患者实行手术后的并发症发生率为11.1%,明显低于对照组29.7%,差异有统计学意义,(P<0.05)。结论乳腺癌患者实行保留胸前神经与肋间臂神经的乳腺癌手术方式进行治疗,可以降低患者复发或转移率,还能降低术后相关并发症出现的概率,值得推广使用在该疾病的临床治疗上。
Objective To observe 82 cases of breast cancer surgery to preserve the anterior thoracic nerve and intercostobrachial nerve treatment effect. Methods June 2012 to September 2013 to our hospital by 82 cases as the research object, random patients were divided into the experimental group and control group. The study group of 45 cases of patients with breast cancer surgery, using the reserved anterior thoracic nerve and intercostobrachial nerve way of surgical treatment was carried out, 37 cases of the control group, using the traditional surgical treatment of breast cancer, the treatment effect of two groups of patients were compared. Results results showed that the experimental group and the control group, intraoperative bleeding volume and lymph node scavenging little difference between the number of, no statistical significance; research group to implement the operation time for（82.4 ＋ 11.8 min） was significantly higher than that of control group（70.1 ＋ 10.9） min, the difference is statistically significant（P〈0.05）; patients in experimental group after metastasis and recurrence rate was 11.1%, significantly lower than that of control group was 27.0%, the difference is statistically significant（P〈0.05）;surgical patients in the experimental group was carried out after the incidence of complications was 11.1%, significantly lower than the control group 29.7%, difference was statistically significant（P〈0.05）. Conclusion breast cancer patients with preserving anterior thoracic nerve and intercostobrachial nerve surgical modality for breast cancer treatment, can reduce the rate of recurrence or metastasis, but also reduce the probability of postoperative complications, is worthy to be popularized in the clinical treatment of the disease.
出处
《新疆医学》
2015年第7期907-909,共3页
Xinjiang Medical Journal
