摘要
目的：总结纤维乳管镜（fiberoptic ductoscopy,FDS）在非肿瘤性乳头溢液灌洗及肿瘤性溢液定位切除中的应用。方法：回顾性分析我院手指的128例乳头溢液疾病患者的临床资料。结果：不同性质的溢液与疾病有着明显的区别,其中血性溢液组的肿瘤性疾病发病率最高为96.1%。39例非肿瘤性溢液性疾病患者通过FDS灌洗治疗后,28例患者达到完全治愈,总有效率达到83.6%;而对于肿瘤性溢液疾病,FDS定位切除手术组的病理诊断符合率达98.0%,高于传统手术组的病理诊断符合率84.6%,两者差别有统计学意义（χ^2=4.08,P〈0.05）。结论：纤维乳管镜对乳头溢液是一种有效而安全的检查方法,同时对于非肿瘤性溢液疾病,FDS灌注治疗可以起到很好的临床效果,而对于肿瘤性溢液疾病的定位切除手术起到很好的指导作用,提高手术的精确性。
Objective： To summarize the application of fiberoptic ductoscopy （FDS） in the drug perfusion for the non-tumor nipple discharge and the localization for the tumorous nipple discharge.Methods： The clinical data of 128 cases of patients with nipple discharge in our hospital were retrospectively collected and analyzed.Results： Signiifcant differences were observed in the FDS diagnoses of patients with nipple discharge. hTe rates of tumor detection via FDS were significantly higher in bloody （96.1%） nipple discharge. Totally 39 patients with non-tumor nipple discharge were treated with drug perfusion via FDS, 28 of whom achieved completely cure. The total effective rate is 83.6%. For tumorous diseases nipple discharge, the diagnostic rate of localization via FDS （98.0%） was higher than that of the traditional surgery group （84.6%）, the difference was statistically signiifcant （χ^2=4.08,P〈0.05）.Conclusion： Fiberoptic ductoscopy is a non-invasive and advanced examination method for the diagnosis of nipple discharge, and it is also a good local drug perfusion method for the patients with non-tumor nipple discharge. In addition, for the patients with tumorous nipple discharge, localization via FDS can have very good guidance function, which can help improve the accuracy of the surgery. It is safe and reliable, and worthy for further promotion.
出处
《临床与病理杂志》
2016年第9期1332-1335,共4页
Journal of Clinical and Pathological Research
关键词
乳头溢液
纤维乳管镜
乳腺疾病
nipple discharge
breast fiberoptic ductoscopy
breast disease
