溢液性乳腺病的造影诊断

The Diagnostis of Brest Galactography on Disease with Nipple Discharge

目的:探讨乳腺导管造影在溢液性乳腺病中的应用。方法:回顾分析了64例72支乳导管的造影检查资料,病例均经临床检查、钼靶摄片、乳导管造影检查及病理证实。结果:导管正常者10例,占13.9%;单纯导管扩张症28例,占38.9%;导管扩张伴慢性乳腺炎7例,占9.7%;导管内乳头状瘤19例,占26.4%;导管内乳头状癌6例,占8.3%;多发性导管内乳头状瘤2例,占2.8%,其中以导管扩张最为多见。结论:乳腺导管造影术对溢液性乳腺病的诊断与鉴别诊断有很大的价值。

Objective： Evaluate the galactography in the diagnosis of breast disease with nipple discharge Methods： Retrospective review galactographic files of 72 breast ducts among 64 cases of breast disease with nipple discharge. All cases were proved by clinical, molybdenum target radiogram, galactography and pathology Results： Breast duct normal were 10 cases（ 13.9% ） with ductal ectasia 28 cases（38.9% ） ; and ectasia combined with chronic mastitis 7 cases （9.7 % ）, Intraductal papilloma were 19 cases （ 26.4% ） and intraductal paillocarcinoma were 6 cases （8.3%） ; the disease of half multiple intraductral papilloma were 2 cases（2.8% ）. In this group, breast ductal ectasia was the most common. Conclusion： Breast galactography is helpful for diagnosis and differentiation of the breast disease with nipple discharge.