摘要
目的 探讨纤维乳管镜诊治乳头溢液的价值。方法 对 1998年 11月～ 1999年4月 5 2例行纤维乳管检查的乳头溢液病人的临床资料进行回顾性分析。结果 对 5 2例乳头溢液病人的 6 2根乳管进行了纤维乳管镜检查 ,发现乳管肿瘤 14例 ,其中 4例为恶性 ,10例乳头状瘤 (病 ) ,乳管肿瘤诊断准确性为 10 0 % ,微小病变 (<5mm )占 85 7% ;乳管扩张症或乳管炎症 6例 ;32例乳管扩张但管腔正常。非肿瘤病人经纤维乳管镜检查冲洗后 ,2 8例病人的乳头溢液停止 ,总有效率为 73 7% (2 8/ 38)。结论 纤维乳管镜作为一种微型内镜 ,具有操作简便 ,创伤小 ,能发现乳管内微小病变 。
Objective To assess the diagnostic value of fiberoptic ductoscopy(FDS) on the nipple discharge. Methods The clinical data of fifty two consecutive patients with nipple discharge undergoing FDS from November 1998 to April 1999 were retrospectively analysed. Results A total of 62 ducts in 52 patients were successfully examined by FDS. Intraductal tumor of the breast was found in 14 cases(4 cancer and 10 papilloma). The diagnostic rate of FDS on intraductal tumor was 100%; and 85.7% of these patients were microlesions. Six cases were diagnosed as mastitis. Thirty two normal duct cavities presented just simple dilatation. In 73.7% of non tumor patients, the nipple discharge disappeared after irregation via FDS. Conclusions As a simple technique and a minimal traumatic endoscopy, FDS would be useful in detection of the microlesions of breast and might become a new diagnostic method of nipple discharge instead of ductography.
出处
《中国普通外科杂志》
CAS
CSCD
2000年第6期541-543,共3页
China Journal of General Surgery
关键词
乳溢/诊断
纤维乳管镜
乳溢/治疗
GALACTORRHEA/diag
FIBEROPTIC DUCTOSCOPY
GALACTORRHEA/ther
