横切口下保留肋间臂神经在乳腺癌术中的临床价值

The Value of Preserving Intercostobrachial Nerve during Modified Radical Mastectomy for Breast Neoplasm under Transverse Incision

摘要: 目的：探讨横切口下保留肋间臂神经（ICBN）在乳腺癌术中的临床应用价值。方法：将63例Ⅰ、Ⅱ期乳腺癌患者分为实验组（保留ICBN），对照组（切断ICBN）。随访观察术后患侧上臂内侧感觉功能。结果：随访第1、6、12个月期间未见癌肿复发、转移。实验组中，术后患侧上臂内侧及腋部皮肤感觉正常29例（87.88%），感觉异常4 例（12.12%）；而对照组30例患者均有感觉异常。结论：在乳腺癌改良根治术中，保留ICBN 可明显减少术后患侧上臂内侧感觉障碍的发生率，有助于提高患者的生存质量。

Abstract: Objective: To discuss the value of preserving ICBN during modified radical mastectomy for breast neoplasms.Methods:Sixty-three cases of breast carcinoma who underwent modified radical mastecto -my were studied. Of them, ICBN was completely preserved in 33cases and was dissected in 30cases. Sen -sory function of the medial upper arm of all patients was followed up after surgery. Results: No local recur-rence or metastasis was found among the 63patients during the first, sixth, and twelveth month of follow-up period. Among the 33cases with ICBN reserved, 29cases (87.88%) had normal sensation of the skin in up-per medial arm and axilla, while 4 cases (12.12% ) had paresthesia.Conclusion:Preserving ICBN can en-hance the quality of life of breast cancer patients after surgery.