摘要
目的研究超声引导下Encor真空辅助旋切系统在乳腺良性肿块微创术中的应用。方法对我院在超声定位引导下行Encor真空辅助旋切系统微创手术,切除乳腺良性肿块女性的128例患者临床资料进行回顾分析。结果 128例患者共发现318个肿块,所有肿块都是在超声的引导下并准确定位完成乳腺肿块微创切除,手术成功率为100.0%。术中的出血量很少,只有42例出血量>25 mL,但是经过真空辅助抽吸,均未影响到手术的进度。28例患者出现了轻度的皮肤瘀血,但均未做任何特殊处理,14天后自然吸收。11例患者术后出现了血肿,但经过细针抽吸和加压包扎措施处理后,均在1个月内获得良好的恢复。患者术后手术切口愈合良好,术后半年返院复查,行乳腺超声检查均未发现肿瘤残留或复发。结论超声引导下Encor真空辅助旋切系统定位准确,能够完整切除乳房肿物,是早期诊断治疗乳腺肿瘤安全、有效、微创、恢复快的方法,具有临床应用价值。
Objective To investigate the clinical application of ultrasonography-guided Encor system in the minimally invasive sur-gery breast tumor .Methods From January 2011 to January 2014 ,128 female patients with breast tumor underwent minimal invasive excision by using a ultrasonography-guided Encor vacunm-assited device and their operative outcomes were retrospectively analyzed .Results Of 128 cases,a total of 318 lumps were detected ,which were all accurately completely resected by ultrasound -guided Encor vacuum-assisted biopsy system.The resection successful rate was 100.0%.Intraoperative hemorrhage was mild except 42 cases with hemorrhage more than 25 mL,but it did not affect the surgical process after vacuum-assisted suction .Twenty-eight patients had mild skin ecchymosis , which restored after 14 days without any treatment .Eleven patients had large hematoma ,which were all cured within one month after fine needle suction and compres-sive dressing.The surgical scar was not obvious ,and all the patients had good cosmetic results .No residual lesion or recurrence was found in all patients after a follow-up of 6 months.Conclusions Ultrasonography-guided Encor system can accurately locate the tumor and resect in quickly.It could be used for early diagnosis and treatment of breast tumor ,which is safe,effective,minimally invasive,and fast healing with few complications .It is worth wide application in clinical practice .
出处
《安徽医学》
2014年第9期1244-1246,共3页
Anhui Medical Journal
关键词
乳腺肿瘤
Encor真空辅助活检系统
微创手术
超声检查
Breast neoplasm
Encor vacuum-assisted biopsy system
Minimally invasive surgery
Ultrasonography
