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Revista Brasileira de Ginecologia e Obstetrícia最新文献

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Tactile sensibility in arm of women subjected to the axillary lymph node dissection for breast cancer 乳腺癌腋窝淋巴结清扫术后女性手臂触觉敏感性的变化
Pub Date : 2009-07-01 DOI: 10.1590/S0100-72032009000700007
M. Santos, M. Panobianco, M. Mamede, Maria Cristina Cortez Carneiro Meirelles, V. M. Barros
PURPOSE: to identify sensitivity alteration in the intercostal brachial nerve pathway using an extensiometer, and to observe the measurement reproducibility of the apparatus. METHODS: the Semmes-Weinstein extensiometer was used to evaluate the sensitivity along the intercostal brachial nerve pathway. Ninety-four women have participated in the study, divided into two groups: a CA Group composed of 47 women submitted to breast cancer axillary lymphadenectomy, and a comparative group composed of 47 women without breast cancer, who had not been submitted to any kind of axillary surgery. Each participant underwent anamnesis and two consecutive applications of the extensiometer. The Control Group responses to the extensiometer test were used as normality reference values. RESULTS: based on Control Group responses, the prevalence of sensitivity changes was 85.1% in the CA Group. Reproducibility of the extensiometer application was confirmed in the CA Group through the Kappa's test (p=0.8). CONCLUSIONS: in this studied sample, sensitivity alterations had high prevalence; evaluations made with the extensiometer were reproducible, and thus we consider the equipment reliable to evaluate sensitivity along the intercostal brachial nerve pathway.
目的:利用牵伸仪识别肋间臂神经通路的敏感性变化,并观察仪器测量的重复性。方法:采用Semmes-Weinstein伸度仪评估沿肋间臂神经通路的敏感性。94名妇女参加了这项研究,分为两组:CA组由47名接受乳腺癌腋窝淋巴结切除术的妇女组成,对照组由47名未患乳腺癌的妇女组成,她们没有接受任何腋窝手术。每个参与者都进行了记忆和两次连续的拉伸仪应用。对照组对拉伸仪测试的反应作为正态参考值。结果:与对照组比较,CA组敏感性改变发生率为85.1%。在CA组中,通过Kappa检验(p=0.8)证实了拉伸仪应用的可重复性。结论:在本研究样本中,敏感性改变的发生率较高;用伸度计进行的评估是可重复的,因此我们认为该设备可靠地评估沿肋间臂神经通路的敏感性。
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引用次数: 18
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Revista Brasileira de Ginecologia e Obstetrícia
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