纤维乳管镜的临床应用

目的 探讨纤维乳管镜诊治乳头溢液的价值。方法 对１９９８年１１月～１９９９年４月５２例行纤维乳管检查的乳头溢液病人的临床资料进行回顾性分析。结果 对５２例乳头溢液病人的６２根乳管进行了纤维乳管镜检查，发现乳管肿瘤１４例，其中４例为恶性，１０例乳头状瘤（病），乳管肿瘤诊断准确性为１００％，微小病变（〈５ｍｍ）占８５．７％乳管扩张症或乳管炎症６例；３２例乳管扩张但管腔正常。非肿瘤病人经纤维乳管镜检查冲

Clinical application of fiberoptic ductoscopy in patients with nipple discharge

Objective To assess the diagnostic value of fiberoptic ductoscopy(FDS) on the nipple discharge. Methods The clinical data of fifty two consecutive patients with nipple discharge undergoing FDS from November 1998 to April 1999 were retrospectively analysed. Results A total of 62 ducts in 52 patients were successfully examined by FDS. Intraductal tumor of the breast was found in 14 cases(4 cancer and 10 papilloma). The diagnostic rate of FDS on intraductal tumor was 100%; and 85.7% of these patients were microlesions. Six cases were diagnosed as mastitis. Thirty two normal duct cavities presented just simple dilatation. In 73.7% of non tumor patients, the nipple discharge disappeared after irregation via FDS. Conclusions As a simple technique and a minimal traumatic endoscopy, FDS would be useful in detection of the microlesions of breast and might become a new diagnostic method of nipple discharge instead of ductography.