乳管镜的临床应用(3000例报告)  

Clinical application of ductoscopy: A report of 3 000 cases

作　　者：邢华[1] 续哲莉[1] 宋昌龙[1] 罗晓[1] 

机构地区：[1]吉林大学中日联谊医院基本外科,长春130031

出　　处：《中国微创外科杂志》2005年第9期751-753,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨乳管内视镜对乳腺疾病诊治的临床应用价值。方法超细乳管内视镜检查乳房疼痛、肿块、乳头溢液病人3000例,部分病例镜检后进行脱落细胞学检查。结果3000例病例中诊断乳管内占位性病变608例,闭塞性乳管炎1709例,积乳症350例,急性乳管炎24例;单纯乳管扩张症282例;乳管未见异常27例。1167例有乳头溢液的病人中585例(50%)镜下诊断为乳管内占位性病变。手术治疗643例,采用乳管内介入治疗2365例。结论乳管内视镜可用于各种乳房疾病的诊断、治疗,并不限于单纯乳头溢液病人的诊断。Objective To discuss the chnical value ol fiberoptic ductoscopy in the chagnosis and treatment of breast diseases, Methods A total of 3000 patients with mastalgia, breast mass or nipple discharge received examinations by fiberoptic ductoscopy, Cytological examinations were carried out in part of the patients after ductoseopy. Results Of the 3000 cases, there were 608 cases of intraductal space-occupying lesions, 1 709 cases of obstructive galactophoritis, 350 cases of galactostasia, 24 cases of acute galaetophoritis, 282 cases of simple mammarv duet ectasia, and 27 cases of normal mammary ducts. Of 1 167 patients with nipple discharge, intraduetal space-occupying lesions were clarified by ductoscopy in 585 cases （50%）. Surgery was performed in 643 cases while intraductal interventional therapy was adopted in 2 365 cases. Conclusions Fiberoptic ductoscopy may be used for the diagnosis and treatment of various breast diseases, not confined to nipple discharge.

关 键 词：乳管内视镜 乳痛症 积乳症 乳头溢液 乳房包块 

分 类 号：R655.8[医药卫生—外科学]