摘要
目的:探讨Encor微创旋切术在乳腺良性小病灶切除术中的应用价值。方法:2013年1月-2014年6月,379例女性患者,在彩超实时引导下,应用Encor微创旋切系统,完整切除801个乳腺微小病灶,术后病理示:796个为良性病灶,5个为乳腺癌。结果:379例患者均顺利完成了手术,术中疼痛可忍,VAS评分均在3分以下;在≤3个肿块的157例患者中,术中出血、术后血肿、皮下瘀斑发生率分别为4.46%、8.92%和17.20%;在>3个肿块的222例患者中,术中出血、术后血肿、皮下瘀斑发生率分别为10.36%、17.12%和21.17%,差别有统计学意义(P<0.05),所有血肿、皮下瘀斑随访3个月均自行吸收消失。术中所有患者无皮肤误切,术后均无感染发生、乳房变形和明显瘢痕形成,患者满意,术后3个月复查彩超,无1例肿物残留。结论:彩超引导下乳腺微小肿块Encor微创旋切术,具有定位准确、切除完整、出血少、瘢痕小、乳房无变形等优点,患者满意度高。
Objective:To investigate the value of ultrasound -guided Encor system in minimally invasive surgery for breast benign tiny lesion resection. Methods:From January 2013 to June 2014,801 breast tiny lesions of 379 pa- tients were excised by of high - frequency color Doppler ultrasound guided Real - time monitoring Encor vacuum as- sisted minimally invasive cutting system in minimally invasive surgery. Postoperative pathology :796 cases were benign lesions,5 cases were breast cancer. Results:All of the breast tiny lesions were complete resected of 379 patients. Intr- aoperative an pain can be managed,VAS score below 3 points. In ≤3 lesions of 157 patients ,the incidence of intraop- erative bleeding, postoperative hematoma, subcutaneous ecchymosis were 4.46% , 8.92% and 17.20% respectively. In 〉 3 lesions of 222 patients, the incidence of intraoperative bleeding, postoperative hematoma, subcutaneous ecchy- mosis were 10.36% , 17.12% and 21.17% , respectively(P 〈 0.05 ). All the postoperative hematoma, subcutaneous ecchymosis were absorbed disappear followed up 3 months. Intraoperative no case can be shin cut, there were no post- operative infection, breast deformation and obvious scar. Patients felt very satisfied. All patients were followed - up by high - frequency color Doppler ultrasound after 3 months, there was no case of the mass residuce. Conclusion: High - frequency ultrasound - guided Encor system in minimally invasive surgery has many superiorities such as accurate lo- cating, high complete resection rate, less intraoperative bleeding, smaller scars, breast no deformation, higher satis- fied, etc. It can be used as preferred surgical approach for the benign breast tiny lesions excision.
出处
《现代肿瘤医学》
CAS
2015年第24期3589-3592,共4页
Journal of Modern Oncology
基金
浙江省医药卫生一般性研究计划(编号:2013KYB282)
关键词
高频超声
Encor微创旋切术
乳腺
微小病灶
high frequency ultrasound, Encor system in minimally invasive surgery, breast, tiny lesion