乳管镜在乳头溢液诊治中的临床应用价值

目的:探讨乳管镜在病理性乳头溢液诊断中的临床应用价值。方法:回顾性分析1 606例经乳管镜检查并行手术切除的病理性乳头溢液患者患者的临床资料。结果:乳管镜检查结果与病理结果尚不完全符合,但两种方法一致性较高(Κ=0.828)。乳管镜诊断的灵敏度为95.5%,特异度为88.6%,与病理诊断的符合率为94.0%。结论:乳管镜在乳头溢液检测中具有良好的灵敏性和特异性,且与病理结果具有高度的一致性,可作为临床诊断乳腺疾病的重要手段。

Application value of ductoscopy for diagnosis of pathologic nipple discharge

Objective:To evaluate the application value of ductoscopy for diagnosis of pathologic nipple discharge. Methods:The clinical data of 1606 patients with pathologic nipple discharge undergoing ductoscopic examination and resection were retrospectively analyzed. Results:Although the results of the ductoscopy were not entirely consistent with those of the final pathology,there was a relatively high consistency between the two diagnostic methods(Κ=0.828).The sensitivity and specificity of ductoscopic diagnosis was 95.5% and 88.6% respectively,and its consistency rate with pathological diagnosis was 94.0%. Conclusion:Ductoscopy has considerably good sensitivity and specificity in diagnosis of nipple discharge and has a high consistency with the pathology findings,thus it can be used as an important approach for clinical diagnosis of mammary gland disease.