摘要
目的:探讨乳管镜对乳头溢液性疾病的诊断与治疗。方法:运用乳管镜对2009年7月～2010年10月在我院就诊的150例乳头溢液患者进行检查诊断,手术病例与术后病理诊断作对比分析。结果:150例均成功检查,镜检诊断为乳腺癌3例,导管内乳头状瘤62例,术后病理诊断符合率分别为66.7%(2/3)、88.7%(55/62);诊断为乳管扩张症伴乳管炎85例,行乳管药物灌洗后乳管溢液得到明显好转或根治。结论:乳管镜能够更直观准确的明确乳头溢液病因,确定病变范围及部位,是乳头溢液的首选检查方法,可使乳管炎与乳管扩张症患者免于手术;是术前诊断以乳头溢液为主要表现的乳腺导管内乳头状瘤和导管内癌的有效手段。
Objective：To assess the value of fiberoptic ductoscopy in the diagnosis and treatment of nipple discharge.Methods：Fiberoptic ductoscopy was used to check 150 cases with nipple discharge from July 2009 to October 2010 in our hospital,and then to compare the preoperative clinical diagnosis with pathologic diagnosis in patients with nipple discharge.Results：150 cases were checked successfully.3 cases were diagnosed with breast cancer and 62 cases wer papilloma.The coincidence rate of clinical diagnosis and pathological diagnosis is about 66.7% and 88.7% respectively;85 cases wre diagnosed with mammary ductectasia with duct inflammation.After ductal lavagedrugs,the nipple discharge have significantly improved or curde.Conclusion： Fiberoptic ductoscopy was the preferred method in diagnosis of nipple discharge.It could clear the cause of nipple discharge in a more intuitionistic and accurate way and define the position and size of the nipple discharge;it could make the duct inflammation and duct ectasia patients free from operation.Also Fiberoptic ductoscopy was an effective technique in diagnosis of breast intraductal papilloma and intraductal carcinoma with nipple discharge as the main performance.
出处
《内蒙古医学杂志》
2011年第4期418-421,共4页
Inner Mongolia Medical Journal
关键词
乳管镜
乳头溢液
乳腺疾病
Fiberoptic ductoscopy（FDS）
Nipple discharge
Breast diseases
