乳管镜在乳头溢液诊治中的应用价值

目的 探讨乳管镜在乳头溢液诊治中的应用价值.方法 对2007年3月至2008年3月在我院应用国产FVY-780型乳管镜进行诊治的91例乳头溢液患者临床资料进行回顾性分析.结果 91例患者操作均荻成功.镜下发现乳管内占位性病变54例(59.3%),其中多发占位19例,采用乳管镜定位下手术治疗,病理证实为乳腺癌5例(5.5%);乳管内非占位性病变37例(40.7%),行乳管内冲洗治疗,部分患者症状得到改善或治愈.结论 乳管镜能够准确、直观地反映乳头溢液的病因、病变部位及范围,是乳头溢液的首选检查方法,也是制定治疗措施的重要依据.乳管镜的应用使乳管炎等非占位性病变免除了不必要的手术,利用乳管镜直视下对乳管内病变进行定位,使手术更加准确、微创.

The role of fiberopfic ductoscopy in diagnosing and treating nipple discharge

Objective To explore the value of fiberoptic ductoseopy in diagnosis and treatment of nipple discharge diseases.Methods From March 2007 to March 2008,91 patients with nipple discharge were admitted in our hospital.These patients were diagnosed and treated using flberoptic ductoscope FVY-780,and their documents were retrospectively analyzed.Results All the 91 cases were successfully diagnosed and treated with fiberoptic ductoscopy.54 cases(59.3%) were diagnosed as protrusion lesions,19 of whom experinced multiple protrusion,and 5 cases(5.5%) of early breast carcinoma were confirmed by postoperative pathology.37 patients(40.7%) diagnosed as non-protrusion lesions were treated by irrigation therapy,some of whom improved or cured.Conclusions Fiberoptic ductoseopy is the first choice of examination for nipple discharge,and it has important clinical values in choosing procedures for it can show precisely the cause and lesion site.Surgery can thereby be avoided for non-protrusion lesions.Locating the site of lesions in mammary ducts guided by fiberoptic duetoscopy may make operations more accurate and minimally invasive.