乳头溢液174例诊治分析

Clinical analysis of the nipple discharge： a report of 174 cases

目的探讨乳头溢液的溢液特点、诊断方法与手术结果。方法对174例乳头溢液病例的溢液性质、术前检查方法、手术术式以及术后病理结果进行回顾性分析。结果174例乳头溢液中，单孔的血性溢液（或浆液性溢液）118例（67．82％）。术前造影显示乳导管内占位性病变160例，乳导管造影诊断符合率85．00％。结论在乳头溢液中，单孔的血性溢液（或浆液性溢液）最有临床价值。选择性乳导管造影仍然是一种简便、可靠的检查方法。

Objective To investigate the characteristic, diagnosis and treatment of the nipple discharge. Methods The clinical data of 174 eases who were diagnosed as nipple diseharge from January 2001 to December 2006 were collected and analyzed retrospectively. Results Among those 174 cases, 136 cases were confirmed histopathologieally to be intraduetal papilloma. The confirmed diagnosis rate of intraduetal papilloma by galaetograghy was 85.00%. Carcinoma-charge rate of the intraduetal papilloma was 5.17%. Conclusion Nipple discharge was the most common symptom in the intraduetal papillomatesis. The galaetography was a valuable method in the diagnosis of the intraduetal papilloma. There was eareinoma-charge possibility in the intraduetal papilloma.