CAJ | 학술논문

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＞ 25 ml,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.
목적 탐토초성인도하EnCor진공보조선절계통절제유선량성종괴적림상료효.방법 대아원2009년7월-2011년3월행초성인도하EnCor진공보조선절계통미창수술절제적216례유선량성종괴환자적림상병리자료진행회고분석.결과 216례환자공계417개종괴,균재초성적인도하준학완성유선종괴미창절제술,수술성공솔위100％；술중출혈균교소,유44례출혈량＞ 25 ml,단경진공보조추흡,미영향수술진정；31례환자출현경도피부어혈,미주처리,2주후자연흡수；9례환자출현술후혈종,단경세침추흡급가압포찰처리,균재1개월내회복；술후수술반흔불명현,미용효과량호,술후6개월반원복사,행유선초성검사균미견종류잔류혹복발.결론 초성인도하EnCor진공보조선절계통절제유선량성종괴시일충유효、병발증교소、미용효과교호적미창수술방법,구유림상응용개치.
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 cass,totally 417 lumps were detected,which were all accurately completely rescted 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.