纤维乳腺导管镜对无肿块乳头溢液的诊治价值
乳管镜；乳溢,,],乳管镜；乳溢,[摘要],[关键词],1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨纤维乳腺导管镜对无肿块乳头溢液患者检查的诊断和治疗价值。方法 2001年12月～2005年12月对无肿块乳头溢液患者200例进行乳腺导管镜检查。其中，手术患者术后行病理检查观察其诊断符合率；非手术患者对病变乳管进行介入治疗，观察其疗效。结果 乳管镜下见乳管未见异常20例，乳管炎132例，浆细胞性乳腺炎1例，导管内乳头状瘤36例，导管内乳头状瘤病10例，乳腺恶性肿瘤1例，病理符合率81.25%。非手术患者短期随访大部分病人乳头溢液消失，复发率48.03%。结论 纤维乳腺导管镜对乳头溢液的病因诊断以及治疗提供了一种有效手段，可以作为乳头溢液患者的常规检查。[关键词] 乳管镜；乳溢
Value of breast fiberoptic duct endoscopy for diagnosis of nipple discharge without lump
GU Yifan,WANG Li,ZHOU Ming,et al.Department of Surgery,Shanghai Changning Central Hospital,Shanghai 200335,China
[Abstract] Objective To study the value of fiberoptic duct endoscopy (FDS) for the diagnosis of nipple discharge without lump.Methods Two hundred patients with nipple discharge without lump were studied using FDS from 2001 to 2005.Some were operated,the results were compared with postoperative pathology.Others were adopted the intraductal interventional therapy and observe the effect.Results FDS detect normal in 20 cases,galactophoritis in 132 cases,mastitis in 1 case,intraductal papilloma in 36 cases,malignant tumor in 1 case.Compared with pathology,the correspondency rate of the diagnosis was 81.25%.After intervening treatment,mostly nipple discharge was disappeared during short time,but the relapse rate is 48.03%.Conclusion FDS may be used for the diagnosis and treatment of nipple discharge and will become a regular examination. ......
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