超声引导下Vacora旋切术在乳腺多发良性疾病中的应用

Vacora Technique for the Resection of Multiple Benign Breast Lesions under Ultrasonographic Guidance

目的探讨超声引导下真空辅助旋切系统（Vacora旋切系统）在乳腺多发（一侧乳腺病灶≥3个）良性病灶治疗中的应用价值。方法 2009年2月~2010年6月应用真空辅助旋切系统（美国巴德公司Vacora系统）对17例经B超检查发现直径≤3 cm的79个良性乳房肿瘤进行实时超声引导旋切,术后2 d,2个月及6个月对患者行超声随访,并将手术区超声图像与术前病灶图像进行对比分析,观察有无血肿,肿瘤残留及美容效果。结果所有乳腺多发病灶均准确并完整切除,经病理诊断均为良性。17例随访1~16个月,平均7.6月,1例术后14 d复查可见血肿形成,术后2个月血肿完全消失;1例术后3个月复查发现残留,继续跟踪随访;所有患者皮肤切口愈合良好,无明显切口瘢痕。结论超声引导下Vacora旋切系统对乳腺多发良性病灶切除效果好,具有美观、微创、安全、并发症少等优点。

Objective To study the clinical value of ultrasonography-guided Vacora vacuum-assisted rotation system in the treatment of multiple breast lesions（≥ 3 lesions unilaterally）. Methods Screened by dynamic ultrasonography,79 breast lesions in 17 patients were diagnosed with benign,and thus were treated with Vacora vacuum-assisted rotation system.All the patients were re-examined at 2 days,2 months,and 6 months during follow-up.We compared the pre-and post-operative ultrasound images to observe hematoma,residual mass and cosmetic result. Results All the lesions were accurately positioned and resected,and demonstrated to be benign by pathologic examination.The patients were followed up for 1 to 16 months with a mean of 7.6 months,during which hematoma was detected at 14 days in one patient,who was then cured spontaneously in 2 months.Residual tumor was detected at 3 months in one patient without an event,and follow-up was continued after that.In all the patients,the incisional wound healed well without leaving a scar. Conclusions Vacora vacuum-assisted rotation system is effective and safe for multiple breast benign lesions with minimal invasion,good cosmetic result and less complications.