摘要
目的探讨纤维乳管内视镜(乳管镜)对双乳多孔溢液乳管内占位的诊断的价值。方法回顾性分析2004年6月—2009年5月诊治的双乳多孔溢液乳管内占位性病变135例患者的临床资料。结果乳管镜诊断双乳乳管内乳头状瘤与病理符合率为75.0%,单乳乳管内乳头状瘤与病理符合率为78.2%,病理总符合率为82.2%,对于双乳乳管内乳头状瘤,黄色溢液较其他性质溢液明显为多(χ2=23.5675,P<0.05)。结论乳管镜对乳管内占位诊断符合率高,在乳头溢液的诊断上可作为首选检查方法,双乳多孔溢液中黄色溢液的双乳乳管内乳头状瘤所占比例较大,应予重视。
Objective To investigate the diagnostic value of fiberoptic ductoscopy（FDS） for cases of bilateral multiple ductal nipple discharge with intraductal space occupying lesions.Methods The clinical data of 135 cases of bilateral multiple ductal nipple discharge with intraductal space occupying lesions treated in our center,from June 2004 to May 2009,were analyzed retrospectively.Results The coincidence rate between FDS and pathological diagnosis was 75.0% for bilateral intraductal papilloma and 78.2% for unilateral intraductal papilloma.The total coincidence rate between FDS and pathological diagnosis was 82.2%.In cases of bilateral intraductal papilloma,the yellow nipple discharge was significantly more frequent than other qualities of discharges（χ2=23.5675,P0.05）.Conclusions FDS diagnosis for intraductal space occupying lesions has high consistency with the postoperative pathological diagnosis,and it can be used as the first choice for nipple discharge diagnosis.Special attention shoud be paid to the yellow nipple discharge,which accounts for a larger proportion of bilateral multiple ductal nipple discharge due to bilateral intraductal papilloma.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第5期512-515,共4页
China Journal of General Surgery
关键词
乳腺肿瘤/诊断
乳管镜
双乳多孔溢液
乳管内占位
病理符合率
Breast Neoplasms/diag
Fiberoptic Ductoscopy
Bilateral Multiple Nipple Discharge
Intraductal Occupation
Pathological Coincidence
