浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2013年
14期
1339-1341
,共3页
陶肖樱%樊静%李颖如%冯蓓%陈静婉
陶肖櫻%樊靜%李穎如%馮蓓%陳靜婉
도초앵%번정%리영여%풍배%진정완
超声引导%微创%乳腺良性肿瘤%VACORA真空辅助旋切系统%三维成像
超聲引導%微創%乳腺良性腫瘤%VACORA真空輔助鏇切繫統%三維成像
초성인도%미창%유선량성종류%VACORA진공보조선절계통%삼유성상
Ultrasound guidance%Benign breast mass%Minimal invasive%VACORA vacuum- assisted rotation system%Three- dimensional imaging
目的探讨三维超声引导下VACORA真空微创穿刺活检系统在乳腺良性疾病诊疗中的应用价值。方法选取术前诊断为乳腺良性肿块患者103例（223个肿块），经二维超声引导治疗54例（二维组），经实时三维超声引导治疗49例（三维组），记录两组患者肿块容积、手术切除条数、手术耗时、术后血肿发生情况及血肿吸收情况。结果全部肿块均成功引导切除，两组患者手术耗时无明显差异（P＞0.05），三维组肿块切除条数及术后血肿发生率均明显少于二维组（均P＜0.05），而且血肿0.16～3.80ml者平均吸收时间均显著明显短于血肿4.7～19.5及25.2～32.0ml者（均P＜0.01）。两组患者术后随访1～12个月均无复发。结论超声引导VACORA真空微创穿刺活检系统适用于体积＜2.4ml乳腺良性肿块的微创切除，实时三维超声引导定位准确、安全、损伤小，是乳腺肿块微创切除的一种有效方法。
目的探討三維超聲引導下VACORA真空微創穿刺活檢繫統在乳腺良性疾病診療中的應用價值。方法選取術前診斷為乳腺良性腫塊患者103例（223箇腫塊），經二維超聲引導治療54例（二維組），經實時三維超聲引導治療49例（三維組），記錄兩組患者腫塊容積、手術切除條數、手術耗時、術後血腫髮生情況及血腫吸收情況。結果全部腫塊均成功引導切除，兩組患者手術耗時無明顯差異（P＞0.05），三維組腫塊切除條數及術後血腫髮生率均明顯少于二維組（均P＜0.05），而且血腫0.16～3.80ml者平均吸收時間均顯著明顯短于血腫4.7～19.5及25.2～32.0ml者（均P＜0.01）。兩組患者術後隨訪1～12箇月均無複髮。結論超聲引導VACORA真空微創穿刺活檢繫統適用于體積＜2.4ml乳腺良性腫塊的微創切除，實時三維超聲引導定位準確、安全、損傷小，是乳腺腫塊微創切除的一種有效方法。
목적탐토삼유초성인도하VACORA진공미창천자활검계통재유선량성질병진료중적응용개치。방법선취술전진단위유선량성종괴환자103례（223개종괴），경이유초성인도치료54례（이유조），경실시삼유초성인도치료49례（삼유조），기록량조환자종괴용적、수술절제조수、수술모시、술후혈종발생정황급혈종흡수정황。결과전부종괴균성공인도절제，량조환자수술모시무명현차이（P＞0.05），삼유조종괴절제조수급술후혈종발생솔균명현소우이유조（균P＜0.05），이차혈종0.16～3.80ml자평균흡수시간균현저명현단우혈종4.7～19.5급25.2～32.0ml자（균P＜0.01）。량조환자술후수방1～12개월균무복발。결론초성인도VACORA진공미창천자활검계통괄용우체적＜2.4ml유선량성종괴적미창절제，실시삼유초성인도정위준학、안전、손상소，시유선종괴미창절제적일충유효방법。
Objective To evaluate the application of VACORA vacuum- assisted rotation system guided by three- dimen-sional ultrasonography in treatment of benign breast diseases. Methods One hundred and three patients with benign mass were randomly assigned to receive two- dimensional ultrasonography- guided (2- D group, n=54) or real- time three- dimensional ultrasonography- guided (3- D group, n=49) VACORA vacuum- assisted rotation system treatment. The volume of mass, excised number, operation time, number and volume of hematoma, the time of hematoma absorption were compared between two groups. Results Al the masses were excised successful y. There was no significant difference in operation time between two groups(P>0.05);the excised number and incidence of postoperative hematoma in 3- D group were less that those in 2- D group (P<0.05). The absorption time of hematoma 0.16~3.80ml was significant less than that of hematoma 4.7~19.5 and 25.2~32.0ml (both P<0.01). No recurrence was found in both groups during the fol ow- up for 1- 12 months. Conclusion Real- time three- di-mensional ultrasonography- guided VACORA vacuum- assisted rotation system is effective in minimally invasive excision of be-nign breast mass with the advantage of accurate location, safety and less damage.
