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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。
","endNoteUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=EndNote&id=721","reference":"| 1 | 王萍萍， 相静， 张文振. 乳腺下缘切口经乳腺后间隙入路手术治疗多发性乳腺纤维瘤的疗效［J］. betway必威登陆网址 （betway.com ）学报， 2021， 42（8）： 635. |
| 2 | Chang DH， Shu YL. Clinic efficacy and safety of ultrasound-guided mammotome-assisted surgery for patients with breast benign tumors［J］. Eur Rev Med Pharmacol Sci， 2023， 27（13）： 5985. |
| 3 | Wang Y， Wang JY， Liu L， et al. Comparison of curative effects between mammotome-assisted minimally invasive resection （MAMIR） and traditional open surgery for gynecomastia in Chinese patients： a prospective clinical study［J］. Breast J， 2019， 25（6）： 1084. |
| 4 | 侯坤. 产科与乳腺科联合全程管理对哺乳期乳腺炎的影响［J］. 泰山医学院学报， 2021， 42（2）： 136. |
| 5 | 左洁琼， 苏静， 郑世鹏， 等. 3种真空辅助旋切系统在超声引导下乳腺微创术中应用的差异［J］. 河南医学研究， 2022， 31（5）： 819. |
| 6 | World Health Organization.Cancer pain relief［M］. Geneva：World Health Organization， 1986： 178. |
| 7 | Kibil W， Hodorowicz-Zaniewska D， Popiela TJ， et al. Mammotome biopsy in diagnosing and treatment of intraductal papilloma of the breast［J］. Pol Przegl Chir， 2013， 85（4）： 210. |
| 8 | Maxwell AJ. Ultrasound-guided vacuum-assisted excision of breast papillomas： review of 6-years experience［J］. Clin Radiol， 2009， 64（8）： 801. |
| 9 | Qu SH， Zhang W， Li SQ， et al. The vacuum-assisted breast biopsy system is an effective strategy for the treatment of gynecomastia［J］. Aesthetic Plast Surg， 2021， 45（2）： 404. |
| 10 | Tang X. Mammotome-assisted liposuction： a novel technique for accessory breasts［J］. Aesthetic Plast Surg， 2017， 41（3）： 517. |
| 11 | 范志民， 王建东， 华彬， 等. 超声引导下真空辅助乳腺活检手术专家共识及操作指南（2017版）［J］. 中国实用外科杂志， 2017， 37（12）： 1374. |
| 12 | Kong YN， Lyu N， Wang JW， et al. Does mammotome biopsy affect surgery option and margin status of breast conserving surgery in breast cancer？［J］. Gland Surg， 2021， 10（8）： 2428. |
| 13 | Weber WP， Zanetti R， Langer I， et al. Mammotome： less invasive than ABBI with similar accuracy for early breast cancer detection［J］. World J Surg， 2005， 29（4）： 495. |
| 14 | Preibsch H， Baur A， Wietek BM， et al. Vacuum-assisted breast biopsy with 7-gauge， 8-gauge， 9-gauge， 10-gauge， and 11-gauge needles： how many specimens are necessary？［J］. Acta radiol， 2015， 56（9）： 1078. |
| 15 | Papathemelis T， Heim S， Lux MP， et al. Minimally invasive breast fibroadenoma excision using an ultrasound-guided vacuum-assisted biopsy device［J］. Geburtshilfe Frauenheilkd， 2017， 77（2）： 176. |
| 16 | Mariscotti G， Durando M， Robella M， et al. Mammotome（?） and EnCor （?）： comparison of two systems for stereotactic vacuum-assisted core biopsy in the characterisation of suspicious mammographic microcalcifications alone［J］. Radiol Med， 2015， 120（4）： 369. |
)","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=721","title_cn":"Encor和Mammotome在乳房BI‐RADS 3类肿物切除中的应用比较","doi":"10.3969/j.issn.2097-0005.2024.12.006","jieShuYe":"740","keywordList_en":["mammary glands， human","Encor","Mammotome","tumor vestigital","ratio of excision and tumor volume"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=721","zhaiyao_en":"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.
","bibtexUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=BibTeX&id=721","abstractUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/10.3969/j.issn.2097-0005.2024.12.006","zuoZheCn_L":"刘焱, 侯传强","juanUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/Y2024","lanMu_en":"Clinical Researches","qiUrl_en":"http://xuebao.sdfmu.edu.cn/EN/Y2024/V45/I12","zuoZhe_EN":"Yan LIU, Chuanqiang HOU()","risUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=Ris&id=721","title_en":"Comparison of Encor and Mammotome systems in excision of breast BI-RADS 3 masses","hasPdf":"true"},"authorNotes_cn":["侯传强，E-mail：houchuanqiang@126.com。
Encor和Mammotome在乳房BI‐RADS 3类肿物切除中的应用比较
刘焱, 侯传强
betway必威登陆网址 (betway.com )学报››2024, Vol. 45››Issue (12): 737-740.
PDF(425 KB)
PDF(425 KB)
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
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。
ObjectiveTo compare the differences of Encor and Mammotome systems in excision of breast BI-RADS 3 masses.MethodsPatients 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.ResultsThere 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.ConclusionThe 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.
乳腺，人/Encor/Mammotome/肿块残留/切除组织量与肿块体积比值
mammary glands， human/Encor/Mammotome/tumor vestigital/ratio of excision and tumor volume
| 1 | 王萍萍， 相静， 张文振. 乳腺下缘切口经乳腺后间隙入路手术治疗多发性乳腺纤维瘤的疗效［J］.betway必威登陆网址 （betway.com ）学报，2021，42（8）： 635. |
| 2 | Chang DH， Shu YL. Clinic efficacy and safety of ultrasound-guided mammotome-assisted surgery for patients with breast benign tumors［J］.Eur Rev Med Pharmacol Sci，2023，27（13）： 5985. |
| 3 | Wang Y， Wang JY， Liu L， et al. Comparison of curative effects between mammotome-assisted minimally invasive resection （MAMIR） and traditional open surgery for gynecomastia in Chinese patients： a prospective clinical study［J］.Breast J，2019，25（6）： 1084. |
| 4 | 侯坤. 产科与乳腺科联合全程管理对哺乳期乳腺炎的影响［J］.泰山医学院学报，2021，42（2）： 136. |
| 5 | 左洁琼， 苏静， 郑世鹏， 等. 3种真空辅助旋切系统在超声引导下乳腺微创术中应用的差异［J］.河南医学研究，2022，31（5）： 819. |
| 6 | World Health Organization.Cancer pain relief［M］. Geneva：World Health Organization，1986： 178. |
| 7 | Kibil W， Hodorowicz-Zaniewska D， Popiela TJ， et al. Mammotome biopsy in diagnosing and treatment of intraductal papilloma of the breast［J］.Pol Przegl Chir，2013，85（4）： 210. |
| 8 | Maxwell AJ. Ultrasound-guided vacuum-assisted excision of breast papillomas： review of 6-years experience［J］.Clin Radiol，2009，64（8）： 801. |
| 9 | Qu SH， Zhang W， Li SQ， et al. The vacuum-assisted breast biopsy system is an effective strategy for the treatment of gynecomastia［J］.Aesthetic Plast Surg，2021，45（2）： 404. |
| 10 | Tang X. Mammotome-assisted liposuction： a novel technique for accessory breasts［J］.Aesthetic Plast Surg，2017，41（3）： 517. |
| 11 | 范志民， 王建东， 华彬， 等. 超声引导下真空辅助乳腺活检手术专家共识及操作指南（2017版）［J］.中国实用外科杂志，2017，37（12）： 1374. |
| 12 | Kong YN， Lyu N， Wang JW， et al. Does mammotome biopsy affect surgery option and margin status of breast conserving surgery in breast cancer？［J］.Gland Surg，2021，10（8）： 2428. |
| 13 | Weber WP， Zanetti R， Langer I， et al. Mammotome： less invasive than ABBI with similar accuracy for early breast cancer detection［J］.World J Surg，2005，29（4）： 495. |
| 14 | Preibsch H， Baur A， Wietek BM， et al. Vacuum-assisted breast biopsy with 7-gauge， 8-gauge， 9-gauge， 10-gauge， and 11-gauge needles： how many specimens are necessary？［J］.Acta radiol，2015，56（9）： 1078. |
| 15 | Papathemelis T， Heim S， Lux MP， et al. Minimally invasive breast fibroadenoma excision using an ultrasound-guided vacuum-assisted biopsy device［J］.Geburtshilfe Frauenheilkd，2017，77（2）： 176. |
| 16 | Mariscotti G， Durando M， Robella M， et al. Mammotome（?） and EnCor （?）： comparison of two systems for stereotactic vacuum-assisted core biopsy in the characterisation of suspicious mammographic microcalcifications alone［J］.Radiol Med，2015，120（4）： 369. |
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