【作者】 余之刚； 张强； 李亮； 李玉阳； 唐鲁兵； 高德宗；

【Author】 YU ZHIGANG ZHANG QIANG LI LIANG LI YUYANG TANG LUBING GAO DEZONG (Breast Surgery Department of the Second Hospital of Shandong University, Jinan 250033, Shandong, China)

【机构】 山东大学第二医院乳腺外科；

【摘要】 目的:探讨纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用价值。方法:分析 2004年2月-2005年2月在我院进行纤维乳管内视镜检查的45例乳头溢液患者资料,观察溢液导管及其分支的管腔和管壁结构,确定病灶位置,记录病变形态,并对30例有占位性病变的患者进行手术切除,记录病理结果。结果:镜检诊断乳腺癌5例,乳头状瘤9例,乳头状瘤病4例,乳管扩张症12例,乳管炎症10例,未发现异常5例,经病理证实符合率97．2％。结论:纤维乳管内视镜能够更准确、直观地明确乳头溢液性乳腺疾病的病因、病变范围及部位,提高了早期乳腺癌的检出率。更多还原

【Abstract】 Objective To explore the value of fiberoptic ductoscopy in the diagnosis of nipple discharge diseases. Methods The data of 45 cases admitted between 2004 and 2005 in the second hospital of shandong university were analyzed. All of the cases were examined by breast fiberoptic ductoscopy to investigate concerned duct with its branch and to difine location and characters of intraductal lesions. 30 cases of intra-ductal space occupying lesions went to operation and record pathological results. Results Of the 45 cases, 5 cases were diagnosed as breast cancer by fiberoptic ductoscopy. 9 cases were diagnosed as papilloma. 4 cases were diagnosed as papillomatosis. 12 cases were diagnosed as mammary duct ectasia. 10 cases were diagnosed as inflanmatory disease of mammary. 5 cases were diagnosed as normal breast. The correspondent rate confirmed by pathological diagnosis was 97.2%. Conclusion Breast fiberoptic ductoscopy can confirm etiological factors and locate accurate site of nipple discharge,so as to improve diagnostic rate of early breast cancer.更多还原