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纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用
引用本文:余之刚,张强,李亮,李玉阳,唐鲁兵,高德宗. 纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用[J]. 山东大学学报(医学版), 2006, 44(7): 754-756
作者姓名:余之刚  张强  李亮  李玉阳  唐鲁兵  高德宗
作者单位:山东大学第二医院乳腺外科, 山东 济南 250033
摘    要:目的:探讨纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用价值。方法:分析2004年2月~2005年2月在我院进行纤维乳管内视镜检查的45例乳头溢液患者资料,观察溢液导管及其分支的管腔和管壁结构,确定病灶位置,记录病变形态,并对30例有占位性病变的患者进行手术切除,记录病理结果。结果:镜检诊断乳腺癌5例,乳头状瘤9例,乳头状瘤病4例,乳管扩张症12例,乳管炎症10例,未发现异常5例,经病理证实符合率97.2%。结论:纤维乳管内视镜能够更准确、直观明确乳头溢液性乳腺疾病的病因、病变范围及部位,提高了早期乳腺癌的检出率。

关 键 词:乳腺疾病  纤维乳管镜  乳头溢液
文章编号:1671-7554(2006)07-0754-03
收稿时间:2006-04-12
修稿时间:2006-04-12

Fiberoptic ductoscopy in diagnosis of nipple discharge diseases
YU Zhi-gang,ZHANG Qiang,LI Liang,LI Yu-yang,TANG Lu-bing,GAO De-zong. Fiberoptic ductoscopy in diagnosis of nipple discharge diseases[J]. Journal of Shandong University:Health Sciences, 2006, 44(7): 754-756
Authors:YU Zhi-gang  ZHANG Qiang  LI Liang  LI Yu-yang  TANG Lu-bing  GAO De-zong
Affiliation:Department of Breast Surgery, Second Hospital of Shandong University, Jinan 250033, Shandong, China
Abstract:Objective: To explore the value of fiberoptic ductoscopy in diagnosis of nipple discharge diseases.Methods: The data of 45 cases admitted between 2004 and 2005 in the second hospital of shandong university were analyzed.All the cases were examined by breast fiberoptic ductoscopy,and 30 cases of intra-ductal space occupying lesions were performed operation.Results: Of the 45 cases,5 cases were diagnosed as breast cancer,9 papilloma,4 papillomatosis,12 mammary duct ectasia,10 inflammatory disease of mammary,and 5 normal breast.(97.2%) of them acted in accord with the pathological diagnosis.Conclusion: Breast fiberoptic ductoscopy can confirm etiological factors and locate the site of nipple discharge,and is effect in diagnosis of early breast cancer.
Keywords:Breast diseases   Fiberoptic ductoscopy   Nipple discharge
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