纤维乳管内视镜检查对乳管内乳头状病变的诊断意义探讨

目的探讨乳管内乳头状病变行乳管内视镜检查的临床意义。方法乳头溢液患者行乳管内视镜检查,对其中乳管内乳头状病变患者的乳管内视镜下的特点予以分析。结果72例乳管内乳头状病变患者中,单发性乳头状瘤55例,多发性乳头状瘤12例,乳头状瘤病5例。共发现98个病灶,其中30.5%的病灶位于总乳管,44.4%位于乳管的Ⅰ级分支,13.9%位于Ⅱ级分支,位于Ⅲ级和Ⅳ级分支的病灶仅占6.9%和1.4%。病灶距乳头开口的平均距离为2.9 cm。2例患者乳管内视镜检查未见新生物。结论乳管内视镜可以对乳管内乳头状病变作出明确的诊断和定位,乳管内视镜是乳头溢液患者病因诊断的首选方法。

Significance of fiberoptic ductoscopy for diagnosis of intraductai papillary lesions

Objective To investigate the clinical significance of fiberoptic ductoscopy in patients with intraductal papillary esions.Methods Fiberoptic ductoscopy was applied to patients with nipple discharge.The characteristics of those with intraductal papillary lesions were analysed.Results 72 patients were found to have intraductal papillary lesions.55 patients were revealed to have single papillomas and 12 mutiple papilloma.5 patients were diagnosed with papillomatosis.A total of 98 lesions were observed.30.5% of these lesions were located in the segmental duct.44.4% lesions were located in the first branch of the segmental duct and 13.9% in the second branch.Only 6.9% and 1.4% lesions were located in the third and fourth branch.The average distance from lacterous pore to papillary lesion was 2.9 cm.Fiberoptic ductoscopy did not find lesion in 2 patients.Conclusions Fiberoptic ductoscopy can be used to diagnose and locate intraductal papillary lesions.It is the best way of diagnostic method for nipple discharge up to now.