[1]龚畅,陈怡,肖晓云①,等.超声引导下Vacora旋切术在乳腺多发良性疾病中的应用龚畅陈怡肖晓云①文艳玲①宋尔卫通讯作者，Email:songerwei02@yahoo.com.cn①超声科（中山大学孙逸仙纪念医院乳腺外科，广州510120[J].中国微创外科杂志,2010,10(10):936-938.
　Gong Chang*,Chen Yi*,Xiao Xiaoyun,et al.Vacora Technique for the Resection of Multiple Benign Breast Lesions under Ultrasonographic Guidance[J].Chinese Journal of Minimally Invasive Surgery,2010,10(10):936-938.
点击复制

超声引导下Vacora旋切术在乳腺多发良性疾病中的应用龚畅陈怡肖晓云①文艳玲①宋尔卫通讯作者，Email:songerwei02@yahoo.com.cn①超声科（中山大学孙逸仙纪念医院乳腺外科，广州510120()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年10期
页码:
936-938
栏目:
出版日期:
2010-10-01

文章信息/Info

Title:
Vacora Technique for the Resection of Multiple Benign Breast Lesions under Ultrasonographic Guidance
作者:
龚畅; 陈怡; 肖晓云①; 文艳玲①; 宋尔卫
中山大学孙逸仙纪念医院乳腺外科，广州510120
Author(s):
Gong Chang*;  Chen Yi*;  Xiao Xiaoyun;  et al.
*Breast Surgery, Sun Yatsen Memorial Hospital, Sun Yatsen University, Guangzhou 510120, China
关键词:
乳腺肿瘤; 真空辅助旋切系统
Keywords:
Breast neoplasms; Vacuumassisted rotation system
分类号:
R737.9
文献标志码:
A
摘要:
目的探讨超声引导下真空辅助旋切系统(Vacora旋切系统)在乳腺多发（一侧乳腺病灶≥3个）良性病灶治疗中的应用价值。方法2009年2月～2010年6月应用真空辅助旋切系统（美国巴德公司Vacora系统）对17例经B超检查发现直径≤3 cm的79个良性乳房肿瘤进行实时超声引导旋切，术后2 d，2个月及6个月对患者行超声随访,并将手术区超声图像与术前病灶图像进行对比分析,观察有无血肿，肿瘤残留及美容效果。结果所有乳腺多发病灶均准确并完整切除，经病理诊断均为良性。17例随访1～16个月，平均7.6月，1例术后14 d复查可见血肿形成，术后2个月血肿完全消失；1例术后3个月复查发现残留，继续跟踪随访；所有患者皮肤切口愈合良好，无明显切口瘢痕。结论超声引导下Vacora 旋切系统对乳腺多发良性病灶切除效果好，具有美观、微创、安全、并发症少等优点。
Abstract:
ObjectiveTo study the clinical value of ultrasonographyguided Vacora vacuumassisted rotation system in the treatment of multiple breast lesions (≥ 3 lesions unilaterally). MethodsScreened by dynamic ultrasonography, 79 breast lesions in 17 patients were diagnosed with benign, and thus were treated with Vacora vacuumassisted rotation system. All the patients were reexamined at 2 days, 2 months, and 6 months during followup. We compared the pre and postoperative ultrasound images to observe hematoma, residual mass and cosmetic result. ResultsAll the lesions were accurately positioned and resected, and demonstrated to be benign by pathologic examination. The patients were followed up for 1 to 16 months with a mean of 7.6 months, during which hematoma was detected at 14 days in one patient, who was then cured spontaneously in 2 months. Residual tumor was detected at 3 months in one patient without an event, and followup was continued after that. In all the patients, the incisional wound healed well without leaving a scar. ConclusionsVacora vacuumassisted rotation system is effective and safe for multiple breast benign lesions with minimal invasion, good cosmetic result and less complications.

参考文献/References:

[1]Ghate SV, Rosen EL, Soo MS, et al. MRIguided vacuumassisted breast biopsy with a handheld portable biopsy system. AJR,2006, 186 (6):1733-1736.
[2]Vargas HI, Vargas MP, Gonzalez K, et al. Percutaneous excisional biopsy of palpable breast masses under ultrasound visualization. Breast J,2006,12(5 Suppl 2):S218-S222.
[3]Johnson AT, HenryTillman RS, Smith LF, et al. Percutaneous excisional breast biopsy. Am J Surg, 2002,184(6):550-554.
[4]吴在德,吴肇汉,主编. 外科学. 第6版. 北京:人民卫生出版社, 2005.326.
[5]Cassano E, Urban LA, Pizzamiglio M, et al. Ultrasoundguided vacuumassisted core breast biopsy: experience with 406 cases. Breast Cancer Res Treat，2007， 102(1):103-110.
[6]李俊来，王知力，陈敏，等. 超声引导下VACORATM旋切系统的实验研究． 中华医学超声杂志，2007，4（1）：19-21．
[7]He Q, Fan X, Guan Y, et al. Percutaneous excisional biopsy of impalpable breast lesions under ultrasound visualization. Breast,2008,17(6):666-670.
[8]张家庭,李征毅,李泉水,等. 超声引导麦默通在乳腺肿块微创旋切术中的应用. 临床超声医学杂志, 2007, 9(10):610-620.
[9]Salem C, Sakr R, Chopier J, et al. Pain and complications of directional vacuumassisted stereotactic biopsy: comparison of the Mammotome and Vacora techniques. Eur J Radiol,2009,72(2):295-299.
[10]王知力,李俊来,苏莉,等. 超声引导下真空辅助旋切系统在乳腺纤维腺瘤治疗中的应用.中华医学超声杂志（电子版）, 2009, 6(1):54-58.

备注/Memo

备注/Memo:
宋尔卫通讯作者，Email:songerwei02@yahoo.com.cn①超声科
更新日期/Last Update: 2013-08-12