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介绍保留胸肌的乳癌根治术136例,其中,切除胸小肌保留胸大肌术式120例,大小肌均保留16例,保留胸大小肌的术式适用于临床Ⅰ、Ⅱ期乳癌,仅保留胸大肌的术式还适用于临床Ⅲ期乳癌。对于清除包括腋上群在内的腋窝淋巴结,完全可达到Halsted乳癌根治术的程度。胸大肌的松弛对腋窝显露较重要,因此,提倡把患肢消毒包扎后放在手术无菌区内,以便术中变换体位,松弛胸大肌。文章还介绍了保护胸肌神经的方法以及一些手术要点
136 cases of breast cancer radical mastectomy with breast patella were reserved. Among them, 120 cases of pectoralis major muscle resection were preserved, 16 cases were retained in both muscle and muscle, and breast and breast muscle was reserved for stage Ⅰ and Ⅱ breast cancer. Pectoralis major operation is also suitable for clinical stage Ⅲ breast cancer. For the removal of axillary lymph nodes, including axillary lymph nodes, can be achieved completely Halsted degree of radical mastectomy. Pectoralis major relaxation of the axillary revealed more important, therefore, to promote the sterile dressing on the limb placed in the sterile area, in order to change the position during surgery, relaxation of the pectoralis major. The article also introduced the method of protecting the pectoral nerve and some operative points