89例乳头溢液的诊治

Diagnosis and Treatment of 89 cases of Nipple Discharge

目的总结以乳头溢液为主要临床表现乳腺疾病的诊断和治疗方法。方法回顾性分析2000年～2005年我院乳腺专科就诊的89例乳头溢液患者的诊治经过。结果89例病人中导管内乳头状瘤(含乳头状瘤病3例)29例,占32.6%;乳腺囊性增生症病27例,占30.3%;乳腺癌13例,占14.6%;急慢性乳腺炎8例,占9%;乳腺导管扩张症6例,占6.7%;其它病变6例,占6.7%。结论乳头溢液的主要原发病为导管内乳头状瘤、囊性增生症、导管扩张症和乳腺癌。影像学检查结合脱落细胞学检查有助于乳头溢液疾病的定位和病因诊断。

Objective To conclude main diagnostic and discharge. Methods Review and analyse the whole treatment methods of which main symptom is nipple process of 89 cases of nipple discharge patient. Results It showed 29 cases of intraductal papillomas（including 3 cases of papillomas） （32.6%）, 27 cases of hyperplasia of mammary glands（30.3%）, 13 cases of breast tube cancer （14. 6%）, 8 cases of mammitis（9%）, 6 cases of dilatation of breast tube（6.7%）, and 6 cases of others（6.7%）. Conclusion The main causes of nipple discharge are intraductal papillomas, hyperplasia of mammary glands , dilatation of breast tube, and breast tube cancer. Cytological examination of nipple discharge is the first choice to diagnose the cause of nipple discharge. Near infrared scanning diagnosis is also helpful.