KẾT QUẢ BẢO TỒN THẦN KINH GIAN SƯỜN CÁNH TAY TRONG PHẪU THUẬT CẮT VÚ TRIỆT CĂN CẢI BIÊN ĐIỀU TRỊ UNG THƯ VÚ TẠI BỆNH VIỆN K

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Tác giả: Hồng Nhung Hoàng, Hồng Quang Lê, Đức Quý Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.437-441

Bộ sưu tập: Metadata

ID: 339710

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu được thực hiện trên 52 bệnh nhân có tổn thương ung thư vú giai đoạn sớm một bên, được phẫu thuật cắt vú triệt căn cải biên có bảo tồn thần kinh gian sườn cánh tay, không điều trị hoá chất và xạ trị sau phẫu thuật. Mục tiêu nghiên cứu đánh giá giá trị của việc bảo tồn dây thần kinh gian sườn cánh tay trong phẫu thuật cắt vú triệt căn cải biên điều trị ung thư vú. Nghiên cứu được tiến hành theo phương pháp mô tả cắt ngang, tiến cứu. Kết quả nghiên cứu cho thấy, tuổi trung bình 49,50 ± 11,19 tuổi, thời gian phẫu thuật trung bình là 49,42 phút
Thời gian lưu dẫn lưu trung bình là 4,54 ngày
5 trường hợp có biến chứng sau mổ, chiếm 9,61%, trong đó 2 trường hợp chảy máu, 2 trường hợp đọng dịch và 1 trường hợp chậm liền vết mổ. Sự phục hồi cảm giác trong nghiên cứu được ghi nhận vào ngày thứ 7 và ngày thứ 90 sau phẫu thuật: từ 61,5% vào ngày thứ 7 và 86,5% vào ngày 90
có 69,2% bệnh nhân đau có ý nghĩa lâm sàng vào ngày hậu phẫu thứ 7. Có 13,5% bệnh nhân đau mãn tính vào ngày thứ 90, trong đó có 7,8% có bản chất là đau thần kinh. Việc bảo tồn dây thần kinh gian sườn cánh tay làm giảm tình trạng đau mạn tính và rối loạn cảm giác sau phẫu thuật qua thời gian.The study was performed on 52 patients with early-stage breast cancer lesions, who underwent modified radical mastectomy with preservation of the intercostobrachial nerve, without chemotherapy and radiotherapy after surgery. The objective of the study was to evaluate the value of intercostobrachial nerve preservation in modified radical mastectomy for breast cancer. The study was carried out by cross-sectional and prospective descriptive. The study’s result showed that the average age of detection was 49.50 ± 11.19 years old, the average surgery time was 49.42 minutes
the mean time of drains stay was 4.54 days
5 cases had complications after surgery, accounting for 9.61%, in which 2 cases of bleeding, 2 cases of fluid accumulation and 1 case of delayed wound healing. Sensory recovery in the study was recorded on day 7 and day 90 after surgery: from 61.5% on day 7 and 86.5% on day 90
there were 69.2% of patients with clinically significant pain on the 7th postoperative day. There were 13.5% of patients with chronic pain at day 90, of which 7.8% had neuropathic nature. Preserving the intercostobrachial nerve reduces chronic pain and postoperative sensory disturbance over time.

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