乳管镜用于乳腺导管内乳头状瘤的临床诊治研究  

Application of Duct Endoscopy in Diagnosis and Therapy of Intraductal Papilloma

作　　者：吴涛[1] 李怡[2] 何显力[1] 乔庆[1] 李金茂[1] 赵华栋[1] 

机构地区：[1]第四军医大学唐都医院普外科,陕西西安710038 [2]第四军医大学唐都医院妇产科,陕西西安710038

出　　处：《现代肿瘤医学》2012年第6期1173-1174,共2页Journal of Modern Oncology

基　　金：陕西省自然科学基金项目(编号:2009JQ4016)

摘　　要：目的:评价纤维乳管镜对乳管内乳头状瘤类疾病的诊断及治疗作用。方法:选取我科2009年8月-2011年8月经乳管镜诊断为导管内乳头状瘤患者144例,其中血性溢液78例,褐色溢液51例,深黄色溢液15例。回顾性分析其术前诊断及治疗过程。结果:所有病例在乳管镜下可见导管内肿物,并经镜下定位行病变腺叶切除,术后病理132例诊断为乳管内乳头状瘤,7例诊断为原位癌,3例为早期浸润性癌。结论:纤维光导乳管镜可准确诊断乳管内乳头状瘤,并进行定位切除。对此类疾病的诊治有重要应用价值。Objective： To evaluate the application of duct endoscopy for diagnosis and therapy of intraductal papil- loma. Methods： To Retrospectively analyze the data of 144 consecutive cases who had duct endoscopy for nipple dis- charge. Of 144 cases,the discharge was 78 bloodstained in 78 ,51 brown and 15 yellow in colour. Results： Intraduc- taJ goiter were detected by ductoscopy in all patients. Lesions were positioned by ductoscopy and excised with the Lo- bus glandularis. 132 cases were diagnosed as intraductal papilloma by pothology after operation, 7 intraductal carci- noma in situ and 3 breast cancer. Conclusion： Duct endoscopy is an only technique to diagnose intraductal papilloma accurately, and also to position and excise the lesions.

关 键 词：乳腺疾病 内窥镜检查 乳头溢液 

分 类 号：R737.9[医药卫生—肿瘤]