摘要
目的:探讨乳腺导管扩张症的诊断和治疗方法。方法:回顾分析1995年6月-2004年6月间85例乳腺导管扩张症的病例资料,诊断主要依据病史、体征和病理切片。根据病程采取不同的治疗方法:无明显急性炎症者可行病灶加周围部分腺体切除;有明显急性炎症者先抗炎后再行以上手术;形成导管瘘者的,将与瘘管相连的扩张导管及周围腺体组织切除。结果: 96%的患者经手术治疗后彻底治愈,其中有5例复发,经导管切开彻底搔刮,去除炎症组织,充分引流换药后痊愈。结论:本病结合病史、体征以及术中病理切片可明确诊断。疑难病例术前可做细针穿刺细胞学检查。患者经抗炎、病灶加周围腺体切除、引流等综合治疗措施可痊愈。炎症组织经充分引流换药后痊愈。
Objective:To study the diagnosis and treatment of mammary duct expansion. Methods: 85 cases of mammary duct expansion between June,1995 and June, 2004 were reviewed retrospectively. Diagnosis were made depending on history, signs and pathological examination. Therapy methods were selected depending on situations of disease;The expansible mammary duct and around tissue were excised in patients without inflammation; Anti-inflammation was adopted first, then the treatment was taken as above in patients with inflammation; The involved lactiferous duct, the subareolar abscess were incised and all the encompassing inflammatory tissues were excised in patients with mammary duct fistula. Results: 96% of patients were cured thoroughly. 5 cases were recurrent,and we opened the wound for drainage,incised it thoroughly and excised the encompassing inflammatory tissues, then exchanged dressings,all wounds were healed. Conclusion:It's sure to be diagnosed when disease history, signs and frozen pathological examination are obtained. In case of difficult diagnosis, fine needle aspiration cytological examination is a choice. They can be cured by the complex treatment of anti-inflammation,excision of disease plus around tissue and drainage,etc.
出处
《中国临床医学》
北大核心
2005年第1期100-101,共2页
Chinese Journal of Clinical Medicine
