乳管镜诊治病理性乳头溢液临床应用价值研究  

Diagnostic and therapeutic value of fiberoptic ductoscopy in nipple discharge

作　　者：崇梅红[1] 沈琴[2] 罗舟[1] 符德元[1] 章佳新[1] 

机构地区：[1]江苏省苏北人民医院甲乳外科,扬州225000 [2]江苏省苏北人民医院内镜诊治中心,扬州225000

出　　处：《中华普通外科学文献（电子版）》2017年第3期172-174,共3页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的探究乳管镜(FDS)在病理性乳头溢液临床诊治中的应用价值。方法回顾性分析江苏省苏北人民医院2012年8月至2016年6月使用FDS检查的300例乳头溢液病例的临床资料。结果 FDS下血性和浆液性溢液组肿瘤性疾病发生率分别为80.0%、52.2%,高于水性和乳汁性溢液组(4.0%、3.2%);对于乳管炎性疾病,FDS下冲洗治疗能取得较好的效果;FDS指导下定位手术组较传统切除手术组诊断病理符合率更高(95.0%vs 87.5%,?2=1.834,P=0.176)。结论 FDS是诊断乳头溢液病因的可靠方法,并且可以对乳管炎性疾病进行有效的冲洗治疗;对于乳管内占位性疾病,FDS指导下定位切除手术能够缩小手术切除范围、缩短手术时间。Objective To study the diagnostic and therapeutic value of fiberoptic ductoscopy （FDS） in nipple discharge.Methods The clinical data of three hundred cases with nipple discharge from Subei People＆#39;s Hospital of Jiangsu Province from August 2012 to June 2016 were retrospectively analyzed. Results The rates of tumor detection by FDS were significantly higher of bloody and serous nipple discharge （80.0%, 52.2%） than milky and watery nipple discharge （4.0%, 3.2%）. For patients with breast inflammatory nipple discharge, local drug douching via FDS was an effective treatment. The diagnostic rate of localization via FDS was significantly higher than that of breast duct infusion of methylene blue （95.0%vs 87.5%,χ2=1.834,P=0.176）.Conclusions FDS is an accurate method for diagnosing patients with nipple discharge. In addition, it is also good local drug douching method for patients with breast inflammatory nipple discharge. For patients with tumorous nipple discharge, localization via FDS can help improve the detection of the lesions, which can be removed by surgery.

关 键 词：乳头状瘤 乳腺疾病 纤维乳管内视镜 

分 类 号：R655.8[医药卫生—外科学]