超声引导下Encor旋切系统在乳腺良性肿块诊治中的应用

目的:探讨超声引导下Encor微创旋切系统在乳腺良性肿块诊断和治疗中的应用价值。方法:回顾性分析2009年10月—2011年4月被彩超和钼靶检查诊断为乳腺良性肿块(直径3cm以内)的62例患者情况,在超声引导下经Encor旋切术治疗后的疗效,并记录病理结果及其随访情况。结果:62例患者108个病灶均成功切除,单发35例,多发27例。肿块切除时间20～45min,平均30min,病理结果显示乳腺纤维腺瘤42例,浆细胞性乳腺炎1例,纤维腺病27例,囊性小叶增生12例,硬化性腺病样改变2例,纤维腺病伴局灶导管扩张6例,纤维腺病伴纤维腺瘤形成趋势18例。62例患者术后3～12个月均随访复查,2例发生血肿(1例术后48h进行穿刺抽吸、加压包扎后痊愈,1例2个月自行吸收),未发现残留和复发灶。结论:超声引导下Encor旋切系统可对<3cm的乳腺良性病灶进行精准高效的切除,操作安全,创面小,并发症少,美容效果明显,具有广泛的应用前景。

Application of Ultrasound Guided Encor System in Minimally Invasive Surgery for Benign Breast Lumps

Objective:To evaluate the value of ultrasound guided Encor minimally invasive biopsy system in the diagnosis and the treatment of benign breast lumps.Methods:We retrospectively analyzed 62 cases of breast lumps,who were treated with ultrasound-guided Encor minimally invasive biopsy system in our hospital from October 2009 to April 2011.Results:62cases,108 lumps in total were removed accurately and completely,without obvious scar,irregular breast contour.Pathological examination showed fibroadenoma in 42 lumps,fibroadenosis in 27,sclerotic adenosis in 2,fibroadenosis complicated with fibroadenoma neoplasty in 18,cystic hyperplasia in 12,fibroadenosis complicated with focus ductal ectasia in 6.After the surgery,62 patients were followed up for 3~12 months.2 of them developed hematoma,no residual or relapse recurrence.Conclusion:Encor minimally invasive biopsy system is less traumatic,safe,aesthetic,feasible,and effective for benign breast lumps with few complications.