乳头血性溢液的诊断与治疗  

The diagnosis and treatment of nipple bloody discharge

作　　者：刘小旭[1] 康华峰[1] 王西京[1] 代志军[1] 薛锋杰[1] 薛兴欢[1] 

机构地区：[1]西安交通大学医学院第二附属医院肿瘤外科,陕西西安710004

出　　处：《现代肿瘤医学》2008年第5期752-753,共2页Journal of Modern Oncology

摘　　要：目的:总结乳头血性溢液的诊断和治疗方法,为临床合理诊断治疗提供依据。方法:回顾性分析1998年至2006年本院收治的220例乳头血性溢液病例。结果:乳腺癌的细胞学诊断准确率50.85%,钼靶X线片诊断准确率76.27%,联合诊断准确率86.44%,冰冻活检准确率100%,联合诊断准确率优于乳头溢液涂片法和X线钼靶摄片法,差异具有统计学意义(P<0.05)。其中导管内乳头状瘤60.91%(134/220),乳腺癌26.82%(59/220),囊性增生、炎症、导管扩张症12.27%(27/220)。结论:联合诊断可提高准确率,手术治疗及术中冰冻活检是合理治疗方式。Objective：To summarize the diagnosis and treatment experience of nipple bloody discharge are summarized. Methods： A total of 220 cases of nipple bloody discharge with surgical treatment were studied retrospectively. Results： The correct diagnosis rate of nipple discharge cytohistology on breast cancer was 50.85%, X - ray mammography was 76.27% , combined methods was 86.44%. Among 220 cases, intraductal papilloma was 60.91% （134/220）, breast cancer 26.82% （59/220）, cystic hyperplasia and ductal ectasia and inflammation 12.27% （27/ 220）. Conclusion： Nipple blood discharge is an indication for surgical treatment and frozen biopsy, combined methods of cytohistology and X - ray can improve correct diagnosis rate.

关 键 词：乳头溢液 诊断 治疗 

分 类 号：R737.9[医药卫生—肿瘤]