超声引导下EnCor微创旋切术在切除单发性触诊阴性BI-RADS 4a类乳腺微小病变中的应用效果

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摘要目的研究超声引导下EnCor 微创旋切术在切除单发性触诊阴性BI-RADS 4a 类乳腺微小病变中的应用效果。方法回顾性选取2019年1月至2020年9月在阳江市人民医院诊治的96 例出现单发性触诊阴性BI-RADS 4a 类乳腺微小病变患者作为研究对象，按照治疗方式不同分为观察组（47 例）和对照组（49 例）。观察组患者行超声引导下EnCor 乳腺微创旋切术治疗，对照组患者行传统开放性乳腺内局部病变切除术治疗。比较两组患者的恶性病变检出率及术中效果、术后愈合情况、术后并发症发生率。结果两组患者的恶性病变检出率比较，差异无统计学意义（P＞0.05）；观察组的手术切口长度短于对照组，组织切除量和术中出血量少于对照组，手术时间短于对照组，差异均有统计学意义（P＜0.05）；观察组的术后疼痛缓解时间和伤口愈合时间短于对照组，瘢痕长度短于对照组，差异均有统计学意义（P＜0.05）；观察组的术后伤口感染、术区血肿、皮肤瘀斑和乳房变形等并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论超声引导下EnCor 乳腺微创旋切术切除单发性触诊阴性BI-RADS 4a 类乳腺微小病变定位准确，耗时短，创伤小，恢复快，美容效果好，安全性高，有助于早期发现乳腺癌，值得临床推广应用。

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	陈富龙
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	林昭伶

关键词 ：微创旋切术, 乳腺病变, 乳腺影像报告和数据系统, 应用效果, 超声

Abstract： Objective To study the application effect of EnCor rotary cutting system in the minimally invasive resection with ultrasound guidance in single nonpalpable BI-RADS category 4a breast tiny lesions.Methods A total of 96 female patients with single nonpalpable BI-RADS category 4a breast tiny lesions treated in Yangjiang People′s Hospital from January 2019 to September 2020 were retrospectively selected as the study subjects.According to different treatment methods,the enrolled patients were divided into the observation group (47 cases) and the control group (49 cases).Patients in the observation group were treated with minimally invasive resection using EnCor rotary cutting system with ultrasound guidance,while those in the control group were treated with traditional open resection.The detection rate of malignant lesions,intraoperative effect,postoperative healing and complications after operation of the two groups were compared.Results There was no statistically significant difference in the detection rate of malignant lesions between the two groups(P＞0.05).The operation incision length of the observation group was shorter than that of the control group,the tissue excision amount and bleeding volume of the observation group were lower than those of the control group,and the operation time of the observation group was shorter than that of the control group,the differences were statistically significant (P＜0.05).The postoperative pain duration and postoperative recovery time of the observation group were shorter than those of the control group,and the scar length of the observation group was shorter than that of the control group,the differences were statistically significant (P＜0.05).The total incidence of complications including incision infection,local hematoma,subcutaneous congestion and breast deformity after operation in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion EnCor rotary cutting system in the minimally invasive resection with ultrasound guidance in single nonpalpable BI-RADS category 4a breast tiny lesions has accurate locating,short operation time,small trauma,short postoperative recovery time,good cosmetic effect and high safety and contributes to early detection of breast cancer,which is worthy of clinical promotion and application.

Key words： Minimally invasive resection Breast lesions Breast imaging reporting and data system Application effect Ultrasound

基金资助:广东省阳江市医疗卫生类科技计划项目（SF2020 019）。

作者简介: 陈富龙（1990-），男，硕士，主要从事乳腺病变的微创诊疗和乳腺癌早期诊治的临床研究。

引用本文:

陈富龙；陈计赏；李晓文；林显君；陈丽佳；林昭伶 . 超声引导下EnCor微创旋切术在切除单发性触诊阴性BI-RADS 4a类乳腺微小病变中的应用效果[J]. 中国当代医药, 2022, 29(17): 77-80转84.
CHEN Fulong；CHEN Jishang； LI Xiaowen； LIN Xianjun； CHEN Lijia； LIN Zhaoling. Application effect of EnCor rotary cutting system in the minimally invasive resection with ultrasound guidance in single nonpalpable BI-RADS category 4a breast tiny lesions. 中国当代医药, 2022, 29(17): 77-80转84.

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