乳管镜定位在乳管内乳头状瘤术中的应用  

Intraoperative breast tumor localization by fiberoptic ductoscopy

作　　者：王昕海[1] 邹强[1] 王红鹰[1] 周坚[1] 金贻婷[1] 劳正胤[1] 应学翔[1] 

机构地区：[1]复旦大学附属华山医院乳腺外科,上海200040

出　　处：《外科理论与实践》2007年第6期574-576,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨术中乳管镜定位在乳头溢液微创手术中的应用价值及其与常规手术对比的优点。方法:将门诊乳管镜检查发现有乳管内占位病变的60例乳头溢液病人随机分为观察组和对照组,分别进行乳管镜定位下的微创手术和常规部分腺体切除术;对比并评价两组的手术效果。结果:观察组中的30处病灶均证实被切除,平均手术时间(48.0±7.1)min,切口平均长度(2.7±0.2)cm,病理检出率93.3%。与常规部分腺体切除术相比,具有手术切口小、腺体破坏少、病理检出率高等优点。结论:术中乳管镜定位下乳管内病变的微创手术具有良好的临床应用价值。Objective To evaluate the role of fiberoptic ductoscopy （FDS） in localizing the lesion followed by minimally invasive surgery （MIS） for patients with nipple discharge. Methods A total of 60 patients with nipple discharge diagnosed by FDS before operation, were randomly divided into 2 groups： （1） intraoperative FDS-guided MIS,＆ （2） routine partial gland resection. The therapeutic efficacy was compared between both groups. Results In the FDS-guided MIS group, all neoplasms were excised, with an average operation time of （48.00±7.14） min,and an average length of incision of （2.67±0.24） cm. Compared with routine quartectomy, FDS demonstrated its merits of a smaller incision, less damage of the glands, and a higher rate of pathologic findings. Conclusions FDS-guided minimally invasive operation demonstrates its superiority in the treatment of breast-duct diseases.

关 键 词：乳溢 乳头状瘤 管内 纤维乳管镜 微创手术 

分 类 号：R737.9[医药卫生—肿瘤]