纤维乳管镜下乳管内占位病变的诊断及定位技术

目的：探讨纤维乳管镜（fiberopticductoscopy，FDS）对乳管内占位病变的诊断和定位价值。方法：分析我院2006年8月至2008年5月经纤维乳管镜检查诊断为乳管内占位病变并接受手术治疗的61例乳头溢液病例，对比并评价不同手术定位方式的手术效果。结果：本组病例中35例行定位针术中定位手术切除病灶，病理检出率为97．1％（34／35）。26例经溢液乳管内美蓝注入，选择性区段切除病灶，病理检出率为73．I％（19／26）。定位针术中定位组病理检出率明显高于美蓝注入组（P=0．018）。结论：纤维乳管镜是乳管内占位病变的可靠诊断方法，在其引导下行定位针术中定位切除病变的方法具有良好的临床应用价值。

Breast intraductal lesion diagnosis and resection under breast fiberoptic ductoscopy

Objective：To evaluate the role of fiberoptic ductoscopy （FDS） in the diagnosis and localization in the resection of intraductal lesions. Methods ： A total of 61 patients with nipple discharge diagnosed by FDS before operation. The therapeutic efficacy was compared between different operative type. Results： Thirty five cases were performed intraductal lesion resection under the localization by locating needle, pathologic relevance ratio was 97.1% （34/35）. The other 26 cases were perormed segmentectomy after breast duct infusion of methylene blue, pathologic relevance ratio was 73.1% （19/26）. Pathologic relevance ratio in the group located by locating needle was higher than that in the breast infusion methylene group （P=0. 018）. Conclusion： FDS is an accurate diagnosis method for breast intraductal lesion, and with the FDS assistance,it is a superior method that resect breast intraductal lesion under the localization by locating needle .