乳管镜临床应用800例

Clinical application of fiberoptic ductoscopy in 800 cases

目的 评价乳管镜对乳头溢液诊断的价值。 方法 回顾分析 1998年 10月～ 2 0 0 3年 7月乳管镜检查乳头溢液 80 0例的临床资料。 结果 经病理证实 ,乳管镜对乳头状瘤、乳头状瘤病、乳腺癌的诊断符合率分别为 92 2 % ( 2 0 2 / 2 19)、86 7% ( 13/ 15 )和 95 2 % ( 4 0 / 4 2 )。总的诊断符合率为 92 0 % ( 2 6 6 / 2 89)。 结论 乳管镜诊断乳头溢液的病理符合率高 ,具有很高的临床应用价值。

Objective To assess the value of fiberoptic ductoscopy (FDS) in the diagnosis of nipple discharge.Methods Clinical records of 800 patients with nipple discharge undergoing FDS from October 1998 to July 2003 were retrospectively reviewed. Results Diagnoses established by FDS were pathologically confirmed in 92 2% of patients with papilloma (202/219), in 86 7% of patients with papillomatosis (13/15), and in 95 2% of patients with breast cancer (40/42). The total diagnostic accordance rate was 92 0% (266/289). Conclusions FDS in the diagnosis of nipple discharge is sensitive and of great clinical significance.