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山东大学学报(医学版)

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纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用

余之刚,张强,李亮,李玉阳,唐鲁兵,高德宗   

  1. 山东大学第二医院乳腺外科, 山东 济南 250033
  • 收稿日期:2005-04-24 修回日期:1900-01-01 出版日期:2006-07-24 发布日期:2006-07-24
  • 通讯作者: 余之刚

YUZhi-gang,ZHANG Qiang,LI Liang,LI Yu-yang,TANG Lu-bing,GAO De-zong   

  • Received:2005-04-24 Revised:1900-01-01 Online:2006-07-24 Published:2006-07-24
  • Contact: YUZhi-gang

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。

Abstract: To explore the value of fiberoptic ductoscopy in 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 the cases were examined by breast fiberoptic ductoscopy, and 30 cases of intraductal space occupying lesions were performed operation. Results: Of the 45 cases, 5 cases were diagnosed as breast cancer, 9 papilloma, 4 papillomatosis, 12 mammary duct ectasia, 10 inflammatory disease of mammary, and 5 normal breast. 97.2% of them acted in accord with the pathological diagnosis. Conclusion: Breast fiberoptic ductoscopy can confirm etiological factors and locate the site of nipple discharge, and is effect in diagnosis of early breast cancer.

Key words: Breast diseases, Fiberoptic ductoscopy, Nipple discharge

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