乳管内视镜在伴乳头溢液乳腺疾病中的诊断价值  

The role of breast fiberoptic ductoscopy in the diagnosis of diseases with abnormal nipple discharge

作　　者：张恒伟[1] 刘真真[1] 刘法文[1] 崔树德[1] 

机构地区：[1]河南省肿瘤医院乳腺科,河南郑州450008

出　　处：《中国癌症杂志》2003年第5期469-471,共3页China Oncology

摘　　要：目的 :探讨乳头溢液乳腺疾病乳管内视镜的诊断价值。方法 :利用FVS 30 0 0M型纤维乳管镜系统对乳头溢液患者进行检查 ,对可疑病例用活检针取组织活检或定位切除送病检确诊 ,对本组 35 4例病人资料进行回顾性分析。结果 :发现占位性病变 2 4 5例 ,渗出性病变 97例 ,另有 9例正常及 3例失败。手术 186例 ,经病理证实诊断准确率为 96 .2 %。结论 :乳管内视镜可以明确引起乳头溢液疾病的病因、确定病变部位 ,引导活检或定位切除 。Purpose:To study the pathological characteristics of breast duct diseases with nipple discharge under breast duct endoscope and improve diagnostic accuracy.Methods:354 patients with nipple discharge were examined by fiberoptic duct endoscope (FVS 3000M), to investigate the suspected duct with its branch and detemine the location and extent of intraductal lesions, core biopsy can be done in suspicious leisions.Results:245 patients were found to have intraductal space occupying lesions, 97 patients were found to have exudative lesions, normal duct in 9 cases.186 cases underwent surgery, diagnosis was confirmed by pathology in 96.2%.Conclusions:Fiberoptic duct endoscopy can locate accurate site and pathogeny of nipple discharge ,to allow improvement in diagnosis of early breast cancer.

关 键 词：乳头溢液 纤维乳管内视镜 活检 诊断价值 

分 类 号：R655.8[医药卫生—外科学] R737.9[医药卫生—临床医学]