触诊在乳腺摄片中的作用探讨  

The Value of Palpate in Mammography

作　　者：许持卫[1] 蔡春华[1] 贾少磊[1] 

机构地区：[1]成都市第三人民医院,四川成都610031

出　　处：《成都医药》2000年第1期25-26,共2页

摘　　要：目的:探讨摄片前触诊的价值及作用。方法:乳腺包块分别由临床及摄片前触诊。结果:311例乳房包块患者,198例临床及摄片前触及包块,113例仅患者自触有“包块”。讨论:(1)触及乳房包块时应注意月经情况,尽可能在月经后三日复查摄片;(2)摄片前的触诊能减少多余X线照射且不影响诊断;(3)摄片前触诊常能避免副乳的漏检;(4)触诊引导包块活检可提高诊断的准确性;(5)摄片前触诊时的挤压可发现乳头溢液。Objective: To evaluate the value of palpate before mammography. method: Mammary mass was palpated by gynecoloist and radiologist respectively. Result: In 311 patients, 198 cases were confined by gynecoloist and radiologist before mammo graphy, other 113 cases were confined by patient themselves. Conclusion: (1) Pay attention to menacne when mammary mass was palpated, re - mammography was necessary in the third day after menacne; (2) Palpate before mammography can decrease radiaolesion; (3) Palpate before mammography can decrease misdiagnosis of accessory mamma; (4) The accuracy of diagnosis was increased by palpate - guided biospy ; (5) The mammillary fluid can be found by palpate.

关 键 词：触诊 乳腺 乳房色块 X线诊断 乳腺摄片 乳腺疾病 

分 类 号：R655.804[医药卫生—外科学]