[1]梁阔,康骅,海涛等.乳腺癌腔镜腋窝淋巴结清扫术中保留肋间臂神经的临床价值[J].中国微创外科杂志,2012,12(6):518-520.
　Liang Kuo,Kang Hua,Hai Tao,et al.Preservation of the Intercostobrachial Nerve during Endoscopic Axillary Lymph Node Dissection for Patients with Breast Cancer[J].Chinese Journal of Minimally Invasive Surgery,2012,12(6):518-520.
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乳腺癌腔镜腋窝淋巴结清扫术中保留肋间臂神经的临床价值()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年6期
页码:
518-520
栏目:
出版日期:
2012-06-15

文章信息/Info

Title:
Preservation of the Intercostobrachial Nerve during Endoscopic Axillary Lymph Node Dissection for Patients with Breast Cancer
作者:
梁阔; 康骅; 海涛等
首都医科大学宣武医院普外科，北京100053
Author(s):
Liang Kuo;  Kang Hua;  Hai Tao;  et al.
Department of General Surgery, Beijing Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
乳腺; 腔镜; 腋窝淋巴结清扫; 肋间臂神经
Keywords:
Breast cancer; Endoscopy; Axillary lymph node dissection; Intercostobrachial nerve
分类号:
R737.9
文献标志码:
A
摘要:
目的探讨乳腺癌腔镜腋窝淋巴结清扫（endoscopic axillary lymph node dissection，EALND）术中保留肋间臂神经的可行性和临床价值。方法回顾分析2006年10月~2008年12月接受腔镜腋窝淋巴结清扫手术并随访资料完整的89例Ⅰ、Ⅱ期乳腺癌患者的临床资料，其中保留肋间臂神经68例，未保留21例。对比2组术后患侧上臂内侧及腋窝皮肤感觉情况、手术时间。结果肋间臂神经保留组术后上臂内侧及腋窝皮肤感觉异常9例（13.2%），未保留组15例（71.4%），二者差异有显著性(χ2=27.859, P=0000)。保留组EALND时间（93.1±31.2）min，未保留组（87.5±25.6）min，二者差异无显著性（t=0.751,P=0.455）。89例术后随访27~45个月，平均36个月，均未发现肿瘤复发及切口种植转移。结论Ⅰ、Ⅱ期乳腺癌EALND术中保留肋间臂神经临床可行，能够明显减少术后患侧上肢感觉障碍及疼痛的发生，改善生活质量。
Abstract:
ObjectiveTo evaluate the feasibility and significance of preserving intercostobrachial nerve(ICBN) during endoscopic axillary lymph node dissection(EALND) for patients with breast cancer. MethodsPreservation of ICBN during endoscopic axillary lymph node dissection was performed on 89 patients with stage Ⅰor Ⅱ breast cancer from October 2006 to December 2008. ICBN was preserved completely in 68 cases, and completely or partly dissected in the other 21 cases. The skin sensation at the medial upper arm and axilla， and operation time of the preservation and nonpreservation groups were compared. ResultsNine patients from the preservation group and 15 patients from the nonpreservation group had abnormal sensation at the medial upper arm and axilla skin (13.2% vs. 71.4%, χ2=27.859, P=0.000). The operation time for EALND was (93.1±31.2)min in the preservation group, which was not significantly different from that in the nonpreservation group ［(87.5±25.6） min,t=0751, P=0.455］. The 89 patients were followed up for 27 to 45 months with a mean of 36 months, during which no recurrent tumor or incisional metastasis occurred. ConclusionsELAND with the ICBN preserved is feasible for patients with Ⅰor Ⅱ breast cancer. It can decrease the rate of abnormal skin sensation after the procedure and improve life quality of the patients.

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备注/Memo

备注/Memo:
基金项目：北京卫生系统高层次卫生技术人才学科带头人培养项目（2011-2-28）梁阔康骅通讯作者，Email:kanghua@xwh.ccmu.edu.cn
更新日期/Last Update: 2012-06-15