纤维乳管镜在乳头溢液疾病诊治中的应用价值  

Evaluation of fiberoptic ductoscopy applied in nipple discharge

作　　者：童婷婷[1] 郑璐[1] 李佳[1] 汤铜[1] 

机构地区：[1]安徽医科大学第二附属医院普外科,安徽合肥230601

出　　处：《安徽医药》2016年第7期1313-1317,共5页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省自然科学基金(1308085QH152)

摘　　要：目的探讨纤维乳管镜(FDS)检查及其镜下图像特征分级在乳头溢液患者疾病中的应用价值。方法回顾性分析以病理性乳头溢液为首发症状就诊的患者223例,单双侧共252侧乳房,分析不同溢液性状、孔数等临床资料与乳头溢液疾病的相关性。并以术后病理诊断为标准评价FDS检查分级诊断的准确性。结果 FDS诊断为占位性病变的主要以血性和浆液性溢液为主,FDS图像分级对乳腺癌诊断的ROC曲线下面积为0.894,有较高的诊断价值。结论 FDS可在直视下观察病变乳管并找到乳头溢液的病因,是乳头溢液疾病的重要检查手段。其分级对仅存在乳头溢液症状的早期乳腺癌发现具有一定的参考价值,提高了早期乳癌的检出率。Objective To investigate the application value of fiberoptic ductoscopy（ FDS） in the diagnosis of breast diseases with nipple discharge. Methods The clinical data of 223 patients with 252 sides of nipple discharge undergoing FDS from July 2011 to September 2015 were retrospectively reviewed. The correlation between the clinical data and the disease of nipple discharge was analyzed.FDS classification was evaluated by postoperative pathologic diagnosis. Results Space occupying lesions diagnosed by FDS mainly had the properties like blood and serous discharge. The area under ROC curve of the FDS image classification for breast cancer diagnosis was 0. 894,which had high diagnostic value. Conclusions FDS is a fiberoptic endoscope used for examining the breast ducts under direct vision,in order to identify the source of pathologic nipple discharge,which is a useful diagnostic modality in patients with nipple discharge. FDS classification has a reference value for the diagnosis of early breast cancer,which can improve its detection rate.

关 键 词：乳溢 内窥镜检查 女性 

分 类 号：R655.8[医药卫生—外科学]