Clinical significance of preserving the intercostobrachial nerve in modified radical mastectomy for breast cancer
10.3969/j.issn.1005-6483.2016.09.007
- VernacularTitle:保留肋间臂神经在乳腺癌改良根治术中的临床意义
- Author:
Gang DONG
;
Wei CHAO
;
Liming ZHANG
- Publication Type:Journal Article
- Keywords:
breast cancer;
modified radical mastectomy;
intercostal nerve
- From:
Journal of Clinical Surgery
2016;24(9):669-671
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and discuss the effects of preserving the intercostobrachial nerve(ICBN)in modified radical mastectomy for breast cancer. Methods A total of 80 patients with breast cancer were randomly divided into the observation group and control group(n = 40 in each). The ICBN in the observation group were reserved and it was removed in the control group. Operation time,the number of lymph nodes,blood loss and complication rates were compared between groups. Two groups of patients were followed up for abnormal sensory function and relapse and metastasis. Results There were no differences in the operation time,the number of dissected lymph nodes and blood loss(P > 0. 05). There was no difference in complication rate(12. 50% vs 15. 00% )between the observation group and control group(P > 0. 05). There were significant differences in the incidence of abnormal sensory function at the first week(10. 00% vs 52. 50% ),the first month(5. 00% vs 47. 50% ),the third month(2. 50%vs 45. 50% ),the sixth month(2. 50% vs 37. 50% ),and the twelfth month(0. 00% vs 27. 50% )after op-eration between the observation group and control group(P < 0. 05). During the one-year follow-up peri-od,there was no relapse or metastasis. Conclusion Preserving ICBN in modified radical mastectomy can effectively reduce the incidence of abnormal sensory function of the upper limb.
