纤维乳管镜诊断乳头溢液的临床价值  

Clinical value of fiberoptic ductoscopy in the diagnosis and treatment of patients with nipple discharge

作　　者：周坚[1] 邹强[1] 王红鹰[1] 顾斐[1] 袁伟[1] 王昕海[1] 任长才[1] 

机构地区：[1]复旦大学上海医学院附属华山医院外科,上海200040

出　　处：《外科理论与实践》2006年第2期119-121,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:评价纤维乳管镜在乳头溢液中的诊治价值。方法:1999年3月～2005年6月,对2608例乳头溢液的病例运用了纤维乳管镜检查,直接观察溢液导管内的病变,初步判断其疾病性质并准确定位;将溢液性质、检查结果、手术病理结果进行总结分析。结果:2608例乳头溢液病例中,溢液为乳白色者97例,无色者563例,黄色者1075例,血性者873例。纤维乳管镜拟诊为“导管扩张”361例,慢性炎症596例,乳管内乳头状瘤(病)1609例,乳腺癌42例;并对其中1444例进行了手术。纤维乳管镜对乳管内乳头状瘤(病)的诊断符合率为78.09%,对乳腺癌的诊断符合率为90%。结论:纤维乳管镜具一定的诊断准确性和定位可靠性,对乳头溢液病人是一种安全有效的初步检查方法。对具无色、黄色或血性溢液的病人均应行纤维乳管镜检查。Objective To evaluate the clinical value of fiberoptic ductoscopy in the diagnosis and treatment of patients with nipple discharge. Methods From March 1999 to June 2005, a total of 2 608 patients with of nipple discharge were submitted to fiberoptic ductoscopic examination. The relationship between the nipple discharge colors, examination results and pathological results were analyzed. Results Of the nipple discharge colors in 2 608 cases, the ivory milky was in 97 cases, colorless in 563 cases, yellow in 1 075 cases, and bloody in 873 cases. Pathologically, there were 361 cases of mammary duct ectasia, 596 cases of chronic inflammation, 1 609 cases of intraductal papilloma, and 42 cases of breast carcinoma. And 1 444 cases were operated upon in the total group. As compared with the result of surgical pathology, the accuracy of the fiberoptic ductoscopic examination is 78.09% in intraductal papilloma and 90% in breast carcinoma. Conclusions Fiberoptic ductoscopy is a noninvasive and novel diagnosing method for patients with nipple discharge. It is especially indicated in patients with colorless, bloody or yellow discharge.

关 键 词：纤维乳管镜 乳溢 乳头状瘤 管内 乳腺肿瘤 

分 类 号：R655.8[医药卫生—外科学]