乳腺导管扩张症的诊断与治疗  

DIAGNOSIS AND TREATMENT OF MAMMARY DUCT ECTASIA

作　　者：崔相利[1] 牛曰凤[1] 王荣华[2] 

机构地区：[1]高青县人民医院,256400 [2]滨州医学院附属医院普外科

出　　处：《滨州医学院学报》2004年第6期418-419,共2页Journal of Binzhou Medical University

摘　　要：目的 :探讨乳腺导管扩张症的诊断和治疗。方法 :对 96例乳腺导管扩张症的临床资料进行回顾性分析。结果 :该病主要临床表现为乳房肿块 (4 0例 ,4 1 6 7% ) ,脓肿 (2 6例 ,2 7 0 8% ) ,乳头内陷 (6 4例 ,6 6 6 7% ) ,乳头溢液 (2 5例 ,2 6 0 4 % ) ,乳瘘 (30例 ,31 2 5 % )。术前误诊率为 4 6 88% (4 5 / 96 ) ,其中 2 2例(2 2 97% )误诊为乳癌。本组均经手术治疗 ,治愈率为 94 79% (91/ 96 )。结论 :乳腺导管扩张症易误诊 ,术中病理检查是确诊的可靠方法 ;彻底切除或切开病变的乳管是手术成功的关键。Objective:To explore the diagnosis and treatment of mammary duct ectasia.Methods:The clinical data of 96 cases of mammary duct ectasia were analyzed retrospectively.Results:The main clinical manifestations were as follows:breast mass(40 cases,41 .67%),abscess (26 cases,27.08%),nipple retraction (64 cases,66.67%),nipple discharge (25 cases,26.04%),breast fistula (30 cases,31.25%).The rate of misdagnosis before operation was 46.88%(45/96),of which 22 cases (22.97%) were diagnosed as breast cancer.All cases underwent surgical operation with cure rate of 94.79% (91/96).Conclusion:Because the disease is easily misdiagnosed,the reliable diagnosis is through a biopsy during operation,and it is the key to exsise or incise affected duct completely for obtaining a successful result.

关 键 词：乳腺炎 误诊 乳腺肿瘤 

分 类 号：R655.8[医药卫生—外科学]