285例乳头溢液临床分析

目的 总结分析乳头溢液的临床意义和病因诊断方法,为临床更合理的治疗提供科学依据。方法 回顾分析1990年1月～2002年8月我科手术治疗的285例乳头溢液病例。结果 285例患者中,乳腺癌55例(19.3％),导管内乳头状瘤130例(45.6％),导管内乳头状瘤病20例(7.0％),导管扩张症36例(12.6％),乳腺增生病33例(11.6％),乳腺导管炎11例(3.9％)。其中乳腺癌、导管内乳头状瘤及导管内乳头状瘤病共205例,占71.9％。结论 乳管内视镜是乳头溢液病因诊断的首选检查。对乳头溢液特别是血性溢液应及时做出病因诊断,以便采取合理的手术治疗。

Clinical analyses of 285 cases of nipple discharge

Objective To sum up and analyze the clinical significance of nipple discharge and to introduce its diagnostic methods in order to provide a scientific basis for more rational treatment in clinical practice. Methods Retrospective analyses of 285 cases of nipple discharge who had undergone surgical operations during the period from Jan 1990 to Aug 2002 were made. Results Of the 285 in-patients, 55 had breast cancer (19.3%), 130 had intraductal papilloma (45.6%), 20 had intraductal papillomatosis(7.0%) ,36 had ductal di-lation(11.6%), 11 had inflammation of the mammary duct(3.9%). Among above-mentioned diseases, breast cancer, intraductal papilloma and intraductal papillomatosis predominated, totalling 205 cases (71.9%). Conclusion Intraductal endoscopy was the first choice of etiological diagnosis of nipple discharge. Opportune etiological diagnosis of nipple discharge,especially bloody discharge, should be made for rational surgery.