硬膜外导管引导下乳晕旁切口治疗乳头溢液63例临床分析  

CLINICAL ANALYSIS OF THE TREATMENT OF 63 CASES OF NIPPLE DISCHARGE UNDER THE GUIDANCE BY EPIDURAL CATHETER WITH THE CURVED INCISION NEAR THE AREOLA

作　　者：朱红成[1] 闫丰[1] 赵光明[1] 

机构地区：[1]华北煤炭医学院附属医院肿瘤外科,唐山063000

出　　处：《现代预防医学》2011年第7期1344-1345,共2页Modern Preventive Medicine

摘　　要：[目的]探讨硬膜外导管引导下乳晕旁切口治疗乳头溢液的可行性。[方法]将硬膜外导管插入溢液乳孔,自导管内注入美兰约0.5ml,乳晕旁弧形切口切除兰染导管及兰染腺体组织,将切除标本常规送冰冻病理检查,报告恶性病变则行改良根治术,报告为良性病变,则乳晕旁弧形切口连续皮内缝合。[结果]乳管内乳头状瘤32例,乳头状瘤病8例,乳腺小叶增生7例,导管扩张症6例,乳腺炎5例,乳腺癌5例。平均住院11d,术后随访3个月~5年,随访59例,失访4例,无一例复发。[结论]硬膜外导管引导下乳晕旁切口治疗乳头溢液,手术安全,手术时间缩短,术后乳房外型美观。[Objective]To discuss the feasibility of the treatment of nipple discharge under the guidance by epidural catheter with the curved incision near the areola.[Methods]Injected methylene blue was about 0.5ml into the galactophore with the epidural catheter to instruct during the operation,removed the blue range with partial mastectomy with the curved incision near the areola,the removed samples were confirmed by intraoperative frozen section.Malignant lesion of the report was a modified radical mastectomy.If reported as benign lesions,then the areola skin adjacent to a continuous curved incision suture.[Results]There was intraductal papilloma of 32 cases,papillomatosis of 8 cases,breast lobular hyperplasia of 7 cases,duct ectasia of 6 cases,mastitis of 5 cases,and breast cancer of 5 cases.The average hospital was 11 days,59 cases in this group were followed for 3 months to 5 years.All the patients presented without the recurrence of the nipple discharge,4 patients lost to follow.[Conclusion]The treatment of nipple discharge under the guidance by epidural catheter with the curved incision near the areola is security,time-consuming of operation is shorter,patients after the operation in this group all have a good appearance of the breast.

关 键 词：乳头溢液 乳腺区段切除 美容 

分 类 号：R655.8[医药卫生—外科学]