乳头溢液性疾病的超声征象与乳管内窥镜检查结果的对比分析  

Sonographic findings compared with fiberoptic ductoscopy in the patients of spontaneous nipple discharge

作　　者：苏瑞娟[1] 孙献甫[2] 袁建军[1] 王文伟[1] 赵冰[1] 

机构地区：[1]河南省人民医院超声科,郑州450003 [2]河南省肿瘤医院乳腺外科

出　　处：《中华超声影像学杂志》2010年第8期705-707,共3页Chinese Journal of Ultrasonography

摘　　要：目的 评价超声对乳头溢液性疾病的临床诊断价值.方法 对57例乳头溢液性疾病患者分别行超声和乳管内窥镜检查,将超声征象与乳管镜结果进行对比分析.结果 超声对乳头溢液性疾病阳性征象诊断率为96.49%：导管扩张27例（47.36%）,实性肿物伴导管扩张或囊肿19例（33.33%）,囊性回声6例（10.52%）,实性回声3例（5.26%）,超声无异常征象2例（3.51%）.乳管镜诊断：乳腺导管炎26例（45.61%）,导管扩张症12例（21.05%）,导管内乳头状瘤或乳头状瘤病17例（29.82%）,乳腺癌2例（3.50%）.超声对实性病变的诊断敏感性为52.63%,特异性为89.47%,误诊率为10.50%,漏诊率为47.36%.结论 超声对乳头溢液性疾病有较高的敏感性,但对此类疾病中实性病变的漏误诊率较高.Objective To investigate the ultrasound diagnostic value for nipple discharge disease by comparison with fiberoptic ductoscopy. Methods Fiberoptic ductoscopy and ultrasonic inspection were performed on fifty-seven patients with spontaneous nipple discharge,and the results were analysed. Results In all patients, 55 cases （96. 49 % ） were abnormal in high-frequency ultrasound inspection：27 mammary duct expansion（47.36%）,19 occupying lesion with mammary duct expansion or cyst （33.33%）,6 cystic echo （ 10. 52% ） ,3 only solid echopattern （5.26%） ,and 2 nothing found （3.51% ）. In ultrasonic inspection,color and pulse Doppler signal were found in 7 cases. On the other hand, 26 galactophoritis （45.61%）, 12mammary duct ectasia （21.05 %）, 17 intraductal papilloma （29.82%）, 2 breast carcinoma （3.50%） were diagnosed by fiberoptic ductoscopy. In all 19 cases with occupying lesion,ultrasonography＇s sensitivity was 52. 63% ,specificity was 89. 47%, misdiagnosis rate was 10. 50%, rate of missed diagnosis was 47.36%.Conclusions To nipple discharge disease, high-frequency ultrasound has high sensitivity, easy to find abnormal indication,but is not accurate enough in the diagnosis of smaller occupying lesion.

关 键 词：超声检查 乳腺疾病 乳头溢液 乳管内窥镜 

分 类 号：R737.9[医药卫生—肿瘤]