乳头溢液药物灌注治疗效果临床分析  

Clinical Analysis of Drug Infusion for the Treatment Efficiency of Nipple Discharge

作　　者：王经龙[1] 肖云龙[2] 王雪松[1] 关群策[1] 王桂忠[1] 

机构地区：[1]江西省吉安市妇幼保健院放射科,江西吉安343000 [2]吉安市中心人民医院放射科

出　　处：《实用放射学杂志》2006年第3期349-351,共3页Journal of Practical Radiology

摘　　要：目的 通过乳导管造影，观察乳头溢液的导管内特征，探索治疗乳头溢液的方法。方法 收集我院2000--2004年乳头溢液98例，其中74例经临床检查、钼钯摄片排除其他疾病，且经乳导管造影确诊为乳导管扩张症48例，囊性乳腺增生病16例，慢性乳导管炎10例。74例乳头溢液均经中西医治疗无效后，才经溢液乳管灌注庆大霉素8万u（单位）2—4ml加地塞米松5mg治疗。结果 灌注治疗1个疗程（4—5次），43例溢液停止，乳房疼痛消失，26例乳晕区发痒、剌痛缓解，31例溢液明显减少。经第2个疗程灌注治疗，其中24例溢液停止，5例要反复挤捏患乳才有极少溢液，但疼痛明显消除。结论 乳头溢液必须确诊为乳导管扩张症、囊性乳腺增生病、慢性乳导管炎患者方可经溢液乳管药物灌注治疗，效果显著，值得临床应用。Objective To study the value of treatment for nipple discharge. Methods 74 cases of nipple discharge underwent clinical examination, radiography with molybdenum target and galactograply. 48 cases were identified as mammary ductal ectasis, 16 cysthyperhlasia of mammary gland and 10 chronic ductal mastitis. The treatment of all of them was ineffective with traditional chinese and western medicine. All of them was treated in the drug infusion of 2 - 4 ml gentamycin in 80. 000 U with 5mg dexamethasone. Results After the first course of treatment （4 - 5 times ） , the nipple discharge disappeared in 43 cases, 26 cases were relieved the itching in the breast infected area and sting, the galactorrhea obviously reduced in 31 cases. After the second course, the galactorrhea stopped in 24 cease, there were a little galactorrhea by repeatedly squeezing the infected breast in 5 cases, but the pain obviously disappeared. Conclusion The nipple discharge caused by mammary ductal ectasis, cystihyperhlasia of mammary gland and chronic ductal mastitis can be treated with drug infusion of gentamycin and dexamethasone.

关 键 词：乳头溢液 乳导管造影 药物灌注 

分 类 号：R655.8[医药卫生—外科学] R814.43[医药卫生—临床医学]