Clinical significance of intercostobrachial nerve reservation in radical resection of breast cancer
10.3760/cma.j.issn.1008-6706.2014.19.026
- VernacularTitle:乳腺癌手术保留肋间臂神经的临床意义
- Author:
Wanquan WU
;
Hongdong YU
;
Jia LIU
;
Yaqi GU
;
Xiaokun XIN
;
Qiang LI
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Intercostal nerves;
Sensation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(19):2948-2950
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical significance of intercostobrachial nerve ( ICBN) reservation in radical resection of breast cancer .Methods 42 cases with breast cancer at stageⅠ,ⅡorⅢa were randomly divided into experimental group(n=28) and control group(n=14).In the experimental group,the ICBN were preserved in the axillary lymph node dissection operation ,while in the control group ,the ICBN were resected in the operation .After the operation,both two groups were treated as breast cancer and the patients were followed up .The operation time,the number of ALND , local tumor recurrence and distant metastasis rates after operation , survival rate were compared between the two groups.Results Postoperative 14 days,3 months and 6 months,the incidence rates of the sensory disorder in the internal upper arms in the control group were 85.7%,64.3% and 50.0% respectively,those in the experimental group were 10.7%,3.5% and 0.0%.The differences were statistically significant between the two groups(P<0.05).The average operation time,average number of lymph node dissection between control group and experimental group had no significant difference [(80.0 ±12.9) min vs (88.0 ±15.6) min,(16.4 ±5.4) vs (14.8 ±6.1)](P >0.05).In the control group,the local recurrence rate,distant metastasis rate and survival rate were 0.0%,7.0%and 0.0%,those in the experimental group were 0.0%,0.0% and 0.0%.There were no statistically significant differences between the two groups .Conclusion It is feasible to preserve the ICBN in radical resection of breast cancer ,which reserves the skin sensory function of the internal upper arm and axilla ,and enhance the patients'quality of life.
