Modified radical mastectomy preserving intercostobrachial nerve in clinical application
10.3760/cma.j.issn.1008-6706.2011.23.008
- VernacularTitle:乳腺癌改良根治术中保留肋间臂神经的临床价值
- Author:
Minfu SU
;
Changhui SUN
;
Chengyin ZOU
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Mastectomy,radical;
Intercostobrachial nerve
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(23):3183-3184
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the early(Ⅰ,Ⅱ)in modified radical mastectomy of breast cancer clinical value of preserving intercostobrachial nerve.Methods A retrospective analysis of 62 cases of early breast cancer patients with the clinical data,on intraoperative complete preservation of the intercostobrachial nerve in 46 cases as the observation group,intraoperative resected intercostobrachial nerve in 16 cases as control group,comparative analysis of the two groups after the upper medial arm and axilla skin paresthesia and breast cancer recurrence.Results All 62cases underwent modified radical mastectomy of breast cancer,all patients were cured.The observation group upper medial arm and axillary skin sensory abnormalities in 5 cases(10.9％),significantly lower than the control group of 16 cases(100％)(x2 =19.27,P ＜0.05).A mean follow-up of 1 year,the observation group in upper arm skin party abnormalities in patients with 5 cases,after 1 ～ 3 mongths recovery ;control group of sensory abnormalities were not returned to normal; the two groups were not found in local tumor recurrence or distant metastasis.Conclusion In modified radical mastectomy of breast cancer reserving intercostobrachial nerve was feasible,and could significantly reduce the postoperative lateral medial arm and axilla skin feeling abnormal rate,and improve the quality of life in patients.
