乳腺导管造影的X线分析及临床应用  

X-ray Analysis and Clinical Application of Galactography

作　　者：张惠霞[1] 韩保卫[2] 黄永红[1] 周会行[3] 

机构地区：[1]洛阳市中心医院特检中心,河南洛阳471009 [2]洛阳市中心医院外科,河南洛阳471009 [3]洛阳市中心医院病理科,河南洛阳471009

出　　处：《实用放射学杂志》2007年第9期1242-1244,1281,共4页Journal of Practical Radiology

摘　　要：目的探讨乳腺导管造影的X线表现特征及其临床意义。方法本组600例乳头溢液患者行乳腺导管造影,且均经手术病理证实,其中乳头溢液为血性或浆液血性298例(占49.8%),浆液性150例(占25%),清水样106例(占17.7%),其它46例(占7.7%)。结果X线上乳腺导管分为3型:枝叶型354例,占59%;支干型127例,占26.2%;干型87例,占14.8%。主要X线病理表现:导管扩张578例(占96.3%),导管变形561例(占93.5%),导管内充盈缺损349例(占58.2%)及导管破坏39例(占6.5%)。乳腺癌42例(占7%),导管内乳头状瘤312例(占52%),导管扩张症129例(占21.5%),炎症26例(占4.3%),增生症49例(占8.2%),乳腺囊肿25例(占4.2%)以及阴性病例17例(占2.8%)。结论乳腺导管造影有助于乳头溢液的病因诊断。Objective To observe the X - ray appearance and clinical value of galactography. Methods 600 cases of galactorrhea confirmed by pathologly underwent galactography, among them,298 cases were blood type（49.8% ）, 150 cases were serum type（25% ） , 106 were rinsing type（ 17.7% ） and others were 46 cases（7.7% ）. Results On galactography,the ductsl were divided into 3 groups： 345 cases were foliar type （59%） , 127 were ramate type（26.2% ） , 87 were trunk type（ 14.8% ）. The main radiographic characteristics of lesions were mammary ductal ectasia in 578（96.3% ） ,ductal distortion in 561 （93.5%） , irregular filling defect in ducts in 349（58.2% ） , and ductal damage in 39（6.5% ）. 42 cases were breast carcinomas（7% ） , 312 were intraductal papillary tumors（52% ） , 129 were mammary ductal ectasia（21.5% ） ,26 were mammary ductal mastitis（4.3% ） , 49 were proliferous disease（8.2% ） , 25 were mammary cyst（4.2% ） , 17 were negative anamnesis（2.8% ）. Conclusion Galactography is beneficial in diagnosis of the pathogenesis of galactorrhea.

关 键 词：乳腺 乳头溢液 乳腺导管造影 X线摄影术 

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