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目的观察安珂(ENCOR)真空辅助旋切系统在乳腺微创外科中的临床应用价值。方法选取医院收治的乳腺肿瘤患者260例,根据治疗方法不同分为观察组(180例)和对照组(80例)。观察组采用安珂真空辅助旋切系统切除治疗,对照组采用常规乳腺肿瘤切除术治疗,对于一些临床不能触及的病灶,采用术前超声引导下导丝定位。观察2组手术时间、术中出血量、瘢痕长度等手术情况及术后并发症发生情况,比较2组随访肿瘤残留、复发率。结果观察组手术时间、术中出血量、瘢痕长度均优于对照组(P<0.05或P<0.01);观察组术后并发症发生率为6.1%,低于对照组的21.3%(P<0.05)。随访结果,2组肿瘤残留比例、复发率比较差异均无统计学意义(P>0.05)。结论安珂(ENCOR)真空辅助乳腺微创旋切系统切除乳腺肿瘤并发症少,美容效果佳,尤其对于临床不可触及的微小病灶、位于不同象限的多个肿瘤的处理,优势明显,是临床上值得推广的手术方式。
Objective To observe the clinical value of ENCOR vacuum assisted rotation system in minimally invasive breast surgery. Methods Totally 260 breast cancer patients admitted to hospital were divided into observation group (180 cases) and control group (80 cases) according to different treatment methods. The observation group was treated with Anke vacuum assisted revolving system, and the control group was treated with conventional breast tumor excision. For some clinically unreachable lesions, the guide wire was placed under the guidance of preoperative ultrasound. The operation time, intraoperative blood loss, scar length and other surgical conditions and postoperative complications were observed. The tumor residual and recurrence rate were compared between the two groups. Results The operation time, intraoperative blood loss and scar length in the observation group were all better than those in the control group (P <0.05 or P <0.01). The incidence of postoperative complications in the observation group was 6.1%, which was lower than that in the control group (21.3%, P < 0.05). Follow-up results, the two groups of tumor residual ratio, the recurrence rate difference was not statistically significant (P> 0.05). CONCLUSIONS: ENCOR vacuum-assisted breast minimally invasive polypectomy system has less complications of breast tumor resection and good cosmetic effect, especially for the treatment of multiple tumors located in different quadrants with clinically inaccessible micro-lesions. It is clinically significant Worth promoting the surgical approach.