保留胸前神经及肋间臂神经的乳腺癌手术临床疗效观察

摘要

目的:分析保留胸前神经及肋间臂神经的乳腺癌手术的效果及价值.方法:选取2015年1月-2017年12月本院收治的70例乳腺癌患者, 患者均采取相同的手术治疗, 按照术中是否保留胸前神经和肋间臂神经, 将其分为研究组 (保留) 和对照组 (不保留), 各35例.比较两组术中出血量、术中淋巴结清除数量、手术时间、住院时间、并发症发生率、复发率和转移率.结果:两组术中出血量、术中淋巴结清除数量、住院时间比较, 差异均无统计学意义 (P>0.05), 但研究组手术时间多于对照组 (P0.05) .结论:保留胸前神经及肋间臂神经的乳腺癌手术治疗效果好, 明显地降低了并发症的发生率、复发率, 延缓了病情的发展, 延长了患者的存活时间, 值得临床推广.%Objective:To analyzethe therapeutic effect and value of breast cancer surgery with preservation of anterior thoracic nerve and intercostobrachial nerve.Method:A total of 70 patients with breast cancer admitted to our hospital from January 2015 to December 2017 were selected.All patients received the same surgical treatment.According to whether the anterior thoracic nerve and intercostobrachial nerve were preserved during the operation, they were divided into study group (preservation) and control group (non-preservation), 35 cases in each group.The intraoperative bleeding volume, number of lymph node clearance, operation time, hospitalization time, incidence of complications, recurrence rate and metastasis rate between two groups were compared.Result:The intraoperative bleeding volume, number of lymph node clearance and hospitalization time in two groups were compared, the differences were not statistically significant (P>0.05), but the operation time in study group was longer than that of control group (P0.05).Conclusion:The results of breast cancer surgery with preservation of anterior thoracic nerve and intercostobrachial nerve are good, the incidence of complications and recurrence rate are obviously reduced, the development of the disease is delayed, and the survival time of patients is prolonged, which is worthy of clinical promotion.