乳腺导管扩张症（附96例报告）

目的 探讨乳腺导管扩张症的诊断及治疗。方法 分析1961－2000年经手术及病理证实的乳腺导管扩张症96例的临床资料。结果 术前误诊72例（75．0％）。根据临床表现的不同采用相应的手术方式：乳管切除术、肿块局部切除术、乳腺区段切除术、单纯乳房切除术、切开引流术、瘘管切除术、乳癌根治术。治愈88例（91．7％），另18例术后症状无明显减轻或复发。结论 乳腺导管扩张症易误诊，手术是治疗的主要手段。

Mammary duct ectasia (a report of 96 cases)

Objective To investigate the diagnosis and treatment of mammary duct ectasia. Methods Analysis was made retrospectively on the clinical data of 96 cases of mammary duct ectasia proved by operation and pathology from 1961 to 2000 in our hospital. Results Misdiagnosis was made in 72 cases (75%). According to the various clinical features, patients should be treated by different operation, including ductectomy, lumpectomy, segmentectomy, simple mastectomy, incision and drainage, fistulectomy and radical mastectomy. 88(91.7%) of the cases were cured and the other 18 patients did not get an obvious relief of the symptoms or got recurrence of the disease. Conclusions Mammary duct ectasia is easy to be misdiagnosed. Operation is the main method of treatment.