EnCor真空辅助旋切系统切除乳腺良性肿块216例的临床分析

Clinical analysis on 216 cases of resection of breast benign lumps by EnCor vacuumassisted biopsy system

目的探讨超声引导下EnCor真空辅助旋切系统切除乳腺良性肿块的临床疗效。方法对我院2009年7月-2011年3月行超声引导下EnCor真空辅助旋切系统微创手术切除的216例乳腺良性肿块患者的临床病理资料进行回顾分析。结果216例患者共计417个肿块，均在超声的引导下准确完成乳腺肿块微创切除术，手术成功率为100％；术中出血均较少，有44例出血量〉25ml，但经真空辅助抽吸，未影响手术进程；31例患者出现轻度皮肤瘀血，未做处理，2周后自然吸收；9例患者出现术后血肿，但经细针抽吸及加压包扎处理，均在1个月内恢复；术后手术瘢痕不明显，美容效果良好，术后6个月返院复查，行乳腺超声检查均未见肿瘤残留或复发。结论超声引导下EnCor真空辅助旋切系统切除乳腺良性肿块是一种有效、并发症较少、美容效果较好的微创手术方法，具有临床应用价值。

Objective To investigate the application of ultrasound-guided EnCor vacuumassisted biopsy system in resection of breast benign lumps. Methods Clinical pathological data of 216 patients with breast benign lumps who received EnCor vacuum-assisted biopsy in our hospital from July 2009 to March 2011 were analyzed retrospectively. Results Of 216 cases, totally all7 lumps were detected, which were all accurately completely resected by ultrasound-guided EnCor vacuum-assisted biopsy system. The resection successful rate was 100%. Intraoperative hemorrhage was mild except 44 cases with hemorrhage more than 25 ml, but did not affect the surgical process after vacuum-assisted suction. 31 patients had mild skin ecchymosis, which restored after 2 weeks without any treatment. 9 patients had large hematoma, which were all cured within one month after fine needle suction and compressive 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. Conclusion Ultrasound-guided EnCor vacuumassisted biopsy system for resection of breast benign lumps is an effective minimally invasive surgery with few complication and good cosmetic result, which can be widely applied in clinical practice.