乳管镜检查在乳头溢液合并乳管内占位性病变的应用价值

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (4): 234-236.

乳管镜检查在乳头溢液合并乳管内占位性病变的应用价值

吴旦平

常熟市第一人民医院

收稿日期:2016-08-01 修回日期:2016-08-02 出版日期:2016-12-28 发布日期:2017-02-17
通讯作者: 吴旦平 E-mail:wudp2012@163.com

Application value of fiberoptic ductoscopy in nipple discharge combined with intra-duct space occupying lesions

Received:2016-08-01 Revised:2016-08-02 Online:2016-12-28 Published:2017-02-17

摘要/Abstract

摘要： 摘要】目的探讨乳管镜检查（FDS）在乳头溢液合并乳管内占位性病变的应用价值，以提高该病的诊断水平。方法对2012年4月至2016年6月间接受FDS检查的乳头溢液85例患者的临床资料进行回顾性分析，并与病理结果进行比较。结果85例乳头溢液中，FDS发现乳管内占位性病变70例（82.4%），其中乳腺导管癌10例，乳管内乳头状瘤51例，乳头状瘤病9例；乳管内占位性病变多表现为血性溢液（83.0%）；FDS检查的灵敏度90.0%，特异度为95.0%，符合率为94.3%；乳腺导管癌导管分级多为Ⅱ~Ⅲ级（80%）。结论 FDS对未扪及肿块的乳头溢液乳管内占位性病变具有较高的诊断价值，可明确病变部位和病变性质，有利于患者及早治疗。

关键词: 乳头溢液, 乳管内占位性病变, 乳管镜检查

Abstract: Abstract Objective：To investigate the diagnosis value of fiberoptic ductoscopy (FDS) in nipple discharge combined with intra-duct space occupying lesions so as to improve diagnostic accuracy of the condition. Methods：The clinical data of 85 patients with nipple discharge who received FDS in our hospital from 2012.4 to 2016.6 were analyzed retrospectively, and the results were compared with the pathological examination. Result：In 85 patients with nipple discharge, 70(82.4%) cases of intra-duct space occupying lesions was found by FDS, including 10 cases of ductal breast cancer, 51 cases of papillomatosis, 9 cases of papilloma. Much performance of intra-duct space occupying lesions was hemorrhagic discharge (83.0%). The sensitivity and specificity of FDS was 90.0%, 95.0%, the coincidence rate was 94.3%. Duct grade of ductal carcinoma was usually Ⅱ~Ⅲ(80.0%). Conclusions: FDS has high diagnostic value of intra-duct space occupying lesions for nipple discharge without palpable mass, can definite location and characteristics of lesions, is helpful for early treatment.

Key words: Nipple discharge, Intra-duct space occupying lesions, Fiberoptic ductoscopy

吴旦平. 乳管镜检查在乳头溢液合并乳管内占位性病变的应用价值[J]. 外科研究与新技术, 2016, 5(4): 234-236.

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