纤维乳管内视镜在乳头溢液的乳腺疾病中的应用体会(附2653例分析)  

Role of breast fiberoptic ductoscopy in the diagnosis of diseases with abnormal nipple discharge

作　　者：吴昕漪[1] 高学平[1] 张志明[1] 佘宏强[1] 邹士林[1] 陈双龙[1] 

机构地区：[1]福建医科大学附属厦门第一医院乳房科,361000

出　　处：《福建医药杂志》2009年第2期14-16,共3页Fujian Medical Journal

摘　　要：目的探讨乳头溢液乳腺疾病乳管内视镜的诊断价值。方法用纤维乳管镜FVY780纤维乳管镜系统对2653例乳头溢液患者进行检查,对可疑病例用活检针取组织活检或定位切除送病检确诊。结果共检出乳头状瘤992例,占37.4%;导管内癌66例,占2.5%;乳管扩张症和乳管炎共1205,占53.8%。结论乳管内视镜检查可以明确乳头溢液的病因,确定病变部位,引导活检或定位切除,提高早期乳腺癌的发现率,是乳头溢液的乳管内疾患诊断的首选方法。Objective To study the pathological characteristics of breast duct diseases with nipple discharge under breast duct endoscope and improve diagnostic accuracy. Method All of 2 653 patients with nipple discharge were examined by fiberoptic duct endoscope （FVY780）; the branch of suspected duct was investigate and the location and the extent of intraduetal lesion were determined. Results In up right nipple discharge, papilloma was 37.4 %, duct carcinoma was 2.5%, and mammary duct ectasia and galactophoritis was 53.8%. Conclusion Fiberoptic duct endoscopy can locate accurate site and pathogeny of nipple discharge, then allow improvement in diagnosis of early breast cancer. It is the best way of diagnostic method for nipple dis charge.

关 键 词：乳头溢液 纤维乳管内窥镜 活检 

分 类 号：R655.8[医药卫生—外科学]