Encor和Mammotome在乳房BI-RADS 3类肿物切除中的应用比较  

Comparison of Encor and Mammotome systems in excision of breast BI-RADS 3 masses

作　　者：刘焱 侯传强[1] LIU Yan;HOU Chuanqiang(Breast Diseases Department,The Affiliated Taian City Central Hospital of Qingdao University,271000 Taian,China)

机构地区：[1]青岛大学附属泰安市中心医院乳腺疾病科,山东泰安271000

出　　处：《山东第一医科大学（山东省医学科学院）学报》2024年第12期737-740,共4页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

摘　　要：目的 对比Encor和Mammotome在乳腺影像报告和数据系统(breast imaging reporting and data system,BI-RADS)3类乳腺肿物切除中的应用效果。方法 选取2020年9月1日—2023年9月1日于青岛大学附属泰安市中心医院乳腺疾病科接受微创手术的乳腺BI-RADS 3类肿块患者做为研究对象,共纳入800例,分为Encor组和Mammotome组,每组各400例。比较2种旋切系统在疼痛、手术时间、术中出血量、切除组织量与肿块体积比值、术后出血、肿块残留、切口感染、皮肤误切、患者满意度、切口长度、更换旋切刀例数等方面的差异。结果 2组患者在术中疼痛、出血量、皮肤误切及切口感染方面比较,差异无统计学意义(P>0.05)。在术后出血、肿块残留例数、切除组织量与肿块体积比值、手术时间、切口长度、患者满意度等方面,Mammotome组优于Encor组,差异有统计学意义(P<0.05)。Encor组未发生更换一次性旋切刀情况,Mammotome组有8例更换了一次性旋切刀,两者比较差异有统计学意义(P<0.05)。结论 Mammotome系统更精确、细致,更符合微创手术的要求,适用于较小肿块的切除;而Encor系统刀头稳固,动力强劲,不需要专人取标本,适用于较大肿块、男性乳房发育等的切除。Objective:To compare the differences of Encor and Mammotome systems in excision of breast BI-RADS 3 masses.Methods:Patients who suffer breast BI-RADS 3 masses and accepted minimally invasive resection during September 2020 to September 2023 were collected.There were 400 patients in Encor group and 400 patients in Mammotome group.We retrospectively analyzed pain during operation,tumor vestigital,ratio of excision and tumor volume,time of operation,length of incision,patients′satisfaction degree,amount of bleeding,renewal of rotary cutter,postoperative hemorrhage,infection of incisional wound and skin injury between the two groups.Results:There were no difference between two groups in pain during operation,skin injury,infection of incisional wound and amount of bleeding(P>0.05).Compared to the Encor group,the Mammotome group has obvious advantage with statistical significance(P<0.05)in postoperative hemorrhage,tumor vestigita,ratio of excision and tumor volume,time of operation,length of incision and satisfaction degree of patients.But the Encor group has obvious advantage with statistical significance(P<0.05)in renewal of rotary cutter.Conclusion:The Mammotome system is more accurate,detailed,consistent with minimally invasive surgery requirements and suitable for the removal of small masses.the Encor system is stronger,and doesn't need a person to take the specimen.So the Encor system is suitable for excision of large lumps,male breast development,etc.

关 键 词：乳腺 人 Encor MAMMOTOME 肿块残留 切除组织量与肿块体积比值 

分 类 号：R737.9[医药卫生—肿瘤]