Sidy Ka, M. Mouelle, Mohammed Ezzet Charfi, J. Thiam, S. Dieng, S. Baldé, M. Dieng, A. Dem
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引用次数: 0
摘要
肋臂间神经(ICBN)负责手臂内侧部分的感觉神经支配。肋间臂神经损伤是淋巴结清扫时腋窝清扫的并发症。目的:探讨保留肋间臂神经对术后感觉障碍的影响。方法:这是一项前瞻性、单中心研究,对达喀尔Aristide Le Dantec医院肿瘤科90例乳腺癌患者进行随访,随访时间为6个月。根据是否保留肋间臂神经(ICBN)将患者分为两组。比较两组的感觉障碍发生率。结果:无神经保存患者60例,有神经保存患者30例,共90例。60例患者发生ICBN损伤,其中41例(83.7%)出现上臂内麻木。保留组仅有8例患者出现麻木(16.3%),P值为0.002;然而,对于其他变量,如神经性疼痛和假设样感觉缺陷的发生率,没有显着差异。结论:乳腺癌腋窝清扫术中保留肋间臂神经可减少上肢感觉障碍的发生。
Preservation of the Intercostobrachial Nerve during Axillary Dissection for Breast Cancer at the Surgical Oncology Unit of Cancer Department of Dakar University
The intercostobrachial nerve (ICBN) is responsible for the sensory innervation of a part of the inner side of the arm. Injury of the intercostobrachial nerve is a complication of axillary dissection during lymph node dissection. Objective: This study aimed to determine the effect of preservation of the intercostobrachial nerve on postoperative sensory disturbances. Methods: This is a prospective, single-center study which was carried out in 90 patients followed in the oncology department of the Aristide Le Dantec hospital in Dakar, suffering from breast cancer and having undergone breast surgery associated with axillary dissection, for a period of 6 months. The patients were divided into two groups depending on whether the intercostobrachial nerve (ICBN) was preserved or not. The two groups were compared in terms of the incidence of sensory disturbances. Results: Sixty patients without nerve preservation and 30 patients with nerve preservation were included in the study, i.e., 90 patients in total. ICBN was injured in 60 patients of which 41 patients (83.7%) developed numbness in the inner arm. While in the preserved group, only 8 patients suffered from numbness (16.3%) with a significant P value of 0.002; however, for other variables such as the incidence of neuropathic pain and hypoesthesia-like sensory deficit, there was no significant difference. Conclusion: Preservation of the intercostobrachial nerve during axillary dissection for breast cancer reduces the incidence of sensory disturbances on the upper limb.