乳腺癌改良根治术中双胸背神经变异1例报道
摘要
<正>目前标准的乳腺癌改良根治术多要求解剖出肋间臂神经、胸长神经和胸背神经并加以保护。笔者遇到1例乳腺癌患者,术中清扫腋窝淋巴结时候发现其神经出现解剖变异,呈双胸背神经,现报道如下。[病例]女,61岁。因"发现右侧乳腺肿块1周",2017-05-27来诊,门诊乳腺彩超提示:右侧乳腺10点钟发现2枚低回声结节,大小分别为11 mm×12 mm×11 mm、
引文
[1]宋莉娜,李晓红.神经探测仪在甲状腺手术中的应用及护理配合[J].中国伤残医学,2015(12):142-143.
[2]FOSTER O.Examination of Peripheral Nerve Injuries:an anatomical approach[M].Stuttgart:Georg Thieme Verlag,2015.
[3]李明明,李林林,季晓燕.神经生长因子治疗周围神经损伤的疗效观察[J].中国实用神经疾病杂志,2015,18(4):24-26.
[4]臧宇,田文,姚京.术中神经监测对分化型甲状腺癌再次手术中保护喉返神经的作用[J].解放军医学院学报,2015(5):425-428.
[5]XIE Q,WANG P,YAN H,et al.Feasibility and Effectiveness of Intraoperative Nerve Monitoring in Total Endoscopic Thyroidectomy for Thyroid Cancer[J].Journal of Laparoendoscopic&Advanced Surgical Techniques,2016,26(2):109.
[6]HUANG C,SU G,WEI W,et al.A Clinical Study on the Treatment of Peripheral Nerve Injury Growth Factor of Mecobalamin Combined with Nerve[J].World Journal of Neuroscience,2016,6(2):75-81.
[7]刘南平,王自力,周立明,等.经皮神经肌电刺激治疗周围神经损伤的探讨[J].现代电生理学杂志,2016,25(4):647-649.
[8]凌庆华,高卫华,彭国栋,等.电针治疗周围神经损伤术后临床观察[J].湖北中医杂志,2015,37(1):59-61.
[2]FOSTER O.Examination of Peripheral Nerve Injuries:an anatomical approach[M].Stuttgart:Georg Thieme Verlag,2015.
[3]李明明,李林林,季晓燕.神经生长因子治疗周围神经损伤的疗效观察[J].中国实用神经疾病杂志,2015,18(4):24-26.
[4]臧宇,田文,姚京.术中神经监测对分化型甲状腺癌再次手术中保护喉返神经的作用[J].解放军医学院学报,2015(5):425-428.
[5]XIE Q,WANG P,YAN H,et al.Feasibility and Effectiveness of Intraoperative Nerve Monitoring in Total Endoscopic Thyroidectomy for Thyroid Cancer[J].Journal of Laparoendoscopic&Advanced Surgical Techniques,2016,26(2):109.
[6]HUANG C,SU G,WEI W,et al.A Clinical Study on the Treatment of Peripheral Nerve Injury Growth Factor of Mecobalamin Combined with Nerve[J].World Journal of Neuroscience,2016,6(2):75-81.
[7]刘南平,王自力,周立明,等.经皮神经肌电刺激治疗周围神经损伤的探讨[J].现代电生理学杂志,2016,25(4):647-649.
[8]凌庆华,高卫华,彭国栋,等.电针治疗周围神经损伤术后临床观察[J].湖北中医杂志,2015,37(1):59-61.