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目的探讨彩超引导下EnCor微创旋切系统在临床触诊阴性乳腺病灶(NPBL)诊治中的应用价值。方法 200例NPBL病人共252个病灶,均在彩超引导下行EnCor微创旋切手术,标本送检。结果 252个NPBL中纤维腺瘤135个(53.6%),乳腺腺病77个(30.6%),乳腺囊肿25个(9.9%),乳管内乳头状瘤11个(4.4%),乳腺导管内癌3个(1.2%),浸润性导管癌1个(0.4%)。良性病变病人196例(98%),术后随访超声未见复发,4例恶性病变病人1例行保乳手术,其余3例行乳癌改良根治术,术后无肿瘤残留,低估率为0。术后发生局部血肿者8例,皮下血肿者12例,无气胸、伤口感染等其他并发症,皮肤切口愈合好。结论彩超引导下EnCor微创旋切手术能有效、微创、快速的确诊NPBL,即可降低早期乳腺癌的漏诊率,又有良好的美容效果,是临床诊治NPBL的首选方法之一。
Objective To investigate the value of EnCor minimally invasive polypectomy guided by color Doppler ultrasonography in the diagnosis and treatment of clinical palpation negative breast lesions (NPBL). Methods A total of 252 lesions of 200 patients with NPBL were enrolled under EnCor guided by color Doppler ultrasonography. Results A total of 252 NPBL fibroadenomas (53.6%), 77 adenomas (30.6%), 25 (9.9%) breast cysts, 11 (4.4%) intraductal papillomas, Three (1.2%) and one invasive ductal carcinoma (0.4%). There were 196 cases of benign lesions (98%). No recurrence was observed by ultrasound follow-up. Four cases of malignant lesions underwent breast-conserving surgery. The remaining three cases underwent modified radical mastectomy without residual tumor. The underestimation rate was 0. Postoperative local hematoma in 8 cases, 12 cases of subcutaneous hematoma, no pneumothorax, wound infection and other complications, skin incision healed well. Conclusion EnCor minimally invasive polypectomy guided by color Doppler ultrasonography is an effective, minimally invasive and rapid NPBL diagnosis, which can reduce the rate of misdiagnosis of early breast cancer and has good cosmetic effects. It is one of the first choice for the clinical diagnosis and treatment of NPBL.