纤维乳管镜在乳头溢液诊断治疗中的应用  

Fiberoptic ductoscopy in the diagnosis and treatment of nipple discharge

作　　者：顾军[1] 于泽平[1] 赵玉萍[1] 刘冰斌[1] 

机构地区：[1]南京军区南京总医院普通外科,江苏南京210002

出　　处：《医学研究生学报》2009年第9期965-967,共3页Journal of Medical Postgraduates

基　　金：南京军区南京总医院科研基金资助项目(批准号:2005045)

摘　　要：目的:乳头溢液是乳腺疾病的常见症状之一,以往的检查方法诊断准确性差。文中探讨纤维乳管内视镜在乳头溢液性乳腺疾病诊断和治疗中的应用价值。方法:分析95例乳头溢液患者资料,并记录50例手术患者病理结果。结果:镜检诊断乳腺癌2例,乳头状瘤58例,乳管扩张症23例,乳管炎症10例。50例手术患者,经病理证实乳腺癌符合率100%,导管内乳头状瘤81%。结论:纤维乳管镜能够更准确、直观明确乳头溢液性乳腺疾病的病因、病变范围及部位,具有一定的诊断准确性和定位可靠性,是一种安全有效的乳头溢液初步检查方法。Objective：Nipple discharge is a common complaint in women. There were no accurate techniques in detecting ductal lesions in nipple discharge patients before the application of fiberoptic ductoscopy. The aim of this study was to evaluate fiberoptie ductoscopy in the diagnosis and treatment of nipple discharge. Methods ： From June 2007 to November 2008, a total of 95 patients with nipple discharge were submitted to fiberoptic ductoscopy, and 50 of them underwent surgery and pathological examination. Results ： Of the 95 cases, 2 diagnosed as breast cancer, 58 intraductal papilloma , 23 mammary duct ectasia, and 10 inflammatory disease of the mammary duct. Compared with the results of pathological examination, the accuracy of the fiberoptic ductoscopy was 81% for intraductal papilloma and 100% for breast carcinoma. Conclusions：Fiberoptic ductoscopy, as a convenient, safe and accurate method for the diagnosis and treatment of nipple discharge, can be used to confirm etiological factors and locate the site of the complaint.

关 键 词：乳腺疾病 纤维乳管镜 乳头溢液 

分 类 号：R655.8[医药卫生—外科学]