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乳头溢血的术前联合诊断与治疗 被引量:1

Combined diagnosis and treatment of bloody nipple discharge before operation
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摘要 目的:探讨乳头溢血的各种诊断方法,为临床准确诊断、及时治疗提供合理方法和依据。方法:回顾性分析150例乳头溢血患者的临床资料。结果:乳头溢血涂片法细胞学诊断乳腺癌的准确率为55.0%,钼靶X线摄片诊断准确率为67.5%,乳管镜检查诊断准确率为72.5%,三者联合诊断乳腺癌的准确率为97.5%。联合检查的术前诊断准确率优于单独应用乳头溢液涂片、钼靶X线摄片和乳管镜检查法,差异有统计学意义(P<0.05)。150例乳头溢血的患者术后病理证实为导管内乳头状瘤66.00%,乳腺癌26.67%,囊性增生、炎症、导管扩张症7.33%。结论:联合诊断可提高乳头溢血术前诊断准确率。 Objective To summarize the combined diagnosis and treatment experience of bloody nipple discharge before operation.Methods A total of 150 cases of bloody nipple discharge with surgical treatment were studied retrospectively.Results The correct diagnostic rate of bloody nipple discharge cytohistology on breast cancer was 55.0%,X-ray mammography was 67.5%,and mammary ductoscopy was 72.5%.The correct diagnostic rate of combined methods was 97.5%.The postoperative pathology proved 99 cases of intraductal papilloma(66.0%),40 cases of breast cancer(26.67%),11 cases of cystic hyperplasia and ductal ectasia and inflammation(7.33%).Conclusion The combined method of cytohistology,X-ray and mammary ductoscopy can improve the correct diagnostic rate.
作者 秦坚 朱晨芳
出处 《中华实用诊断与治疗杂志》 2009年第10期968-969,共2页 Journal of Chinese Practical Diagnosis and Therapy
关键词 乳腺癌 乳头溢血 诊断 手术治疗 Breast cancer nipple bloody discharge diagnosis surgical treatment
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参考文献11

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