摘要
目的：探讨乳管内视镜下对乳头溢液患者的诊断与治疗。方法：应用德国雪力超细乳管内视镜对112例乳头溢液患者进行诊治。结果：本组112例患者,共115个溢液乳孔。进镜Ⅲ-Ⅵ级乳管。正常管腔18例,占16.1%;导管扩张伴慢性炎症26例,占23.2%;发现乳管内占位病变68例,占60.7%。给予手术治疗68例,均行乳腺导管区段切除术,经病理证实为导管内乳头状瘤58例,导管内乳头状瘤病3例,导管扩张伴慢性炎症6例,导管内癌1例。结论：乳管内视镜操作简便,创伤小,无痛苦,较以往乳管造影、溢液涂片等检查方法对该疾病的诊治,有直观、准确的特点,具有较为广泛的临床应用前景。
Objective：This study was to investigate breast fiberoptic ductoscopy in the diagnosis and treatment of abnormal nipple discharge.Methods：Scholly superfine ductoscopy was used to treat and diagnose 112 cases with abnormal nipple discharge.Results： 115 orifices of nipple discharge were found in this group.Ductoscopy enter into Ⅲ～Ⅵ duct.Normal duct in 18 cases（16.1%）.Mammary duct ectasia and chronic inflammation in 26 cases（23.2%）,duct placeholder lesions in 68 cases（60.7%）.Surgical treatment in 68 cases.The way of surgery is mammary duct segment resection, by pathologically confirmed. Papillonas was found in 58 cases, papillomatosis in 3 cases, mammary duct ectasia and chronic inflammation in 6 cases, intraductal cancer in 1 cases. Conclusion： Ductoscopy is provided with simple, minimally invasive, non- painful. The characteristic of ductoscopy is intuitive ahd accurate in diagnosis and treatment of diseases than ever before, such as smear examination and duct imaging. It has a more extensive clinical application.
出处
《内蒙古医学杂志》
2009年第10期1180-1182,共3页
Inner Mongolia Medical Journal
