摘要
目的:探讨在改良乳腺癌根治术中保留胸前神经的方法和临床意义。方法:将68例拟行改良乳腺癌根治术的患者随机分为两组,保留胸前神经组和不保留胸前神经组各34例。保留胸前神经组手术时分开胸大肌暴露并保留胸内、外侧神经,不保留胸前神经组则不保留胸内、外侧神经。其余手术操作相同。术后12个月用彩超测量胸大肌厚度,并与对侧比较。结果:保留胸前神经组无重度胸大肌萎缩,不保留胸前神经组重度萎缩26例(76.5%)。经统计学检验,保留胸前神经组重度胸大肌萎缩情况较不保留胸前神经组明显减少(P<0.01)。结论:改良乳腺癌根治术中保留胸前神经能减少术后胸大肌萎缩。
Objective： To study the method and clinical significance of preserving pectoral nervus in modified radical mastectomy. Methods： Sixty eight patients underwent modified radical mastectomy were divided into two groups randomly, the first group preserved medial＇and lateral pectoral nervus by transpectoral anterior approach（ n =34） ,and the second group didn＇t preserved pectoral nervus（n =34）. Twelve month after operation, ultrasonograph was used to detect the thickness of pectoralis major muscles, and compare with the other side. Results： No case in the first group and 26 cases（76.5% ） in the second group suffered from postoperative atrophy of pectoralis major muscles （ P 〈 0.01 ）. Conclusion： Preserve pectoral nervus in modified radical mastectomy can prevents pectoralis major muscle from atrophy.
出处
《现代肿瘤医学》
CAS
2007年第4期531-532,共2页
Journal of Modern Oncology
关键词
乳腺肿瘤
改良乳腺癌根治术
胸前神经
breast neoplasms
modified radicalmastectomy
pectoral nerve
作者简介
马茂（1965-），男，陕西蒲城人，副教授，博士在读，主要从事老年肿瘤的诊治及研究工作。
