乳管镜定位下切除乳管内病变的临床应用  

Clinical application of fiberoptic ductoscopy-guided intraductal lesions resection

作　　者：夏锴[1] 陆晔[1] 单海琳[1] 苏瑛[1] 邹润龙[1] 周斌[1] 韩喜娥[1] 邵清[1] 

机构地区：[1]东南大学医学院附属江阴医院乳甲外科,江苏江阴214400

出　　处：《实用临床医药杂志》2011年第19期70-72,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨乳管镜（FDS）定位下切除乳管内病变的应用可行性和临床价值。方法2010年6月--2010年12月门诊FDS检查发现有乳管内病变的乳头溢液患者80，FDS定位下的区段切除术。结果FDS定位组诊断符合率95.0％（38／40）高于常规组87.5％（35／40）。定位组与常规组相比，具有手术切口小、腺体破坏少、病理检出率高等优点。结论术中FDS定位下的手术具有良好的临床应用价值，能部分替代常规手术。Objective To explore the feasibility and significance of fiberoptic ductoscopyguided intraduetal lesions resection. Methods From June 2010 to December 2010, data from 80 patients with nipple discharge who underwent fibreoptic ductoscopy （FDS） were collected. Those patients were randomly divided into two groups： FDS- guided group and routine group. One took the FDS--guided segmental mastectomy and the other took routine segmental mastectomy. Results The diagnostic rate of FDS- guided group was 95% （38/40）, higher than that of routine group 87.5 % （35/40）. Compared with routine segmental mastectomy, FDS- guided segmental mastectomy had advantages of smaller incision, less damage of the glands and higher rate of pathologic findings. Conclusion FDS- guided segmental mastectomy demonstrates its superiority in the treatment of intraductal lesions, and could be replacement of routine segmental mastectomy in a way.

关 键 词：纤维乳管镜 导管内乳头状瘤 乳头溢液 

分 类 号：R737.9[医药卫生—肿瘤]