乳管镜在诊断乳头溢液性疾病中的应用

Fiberoptic ductoscopy in diagnosis of nipple discharge diseases

目的探讨纤维乳管内视镜在乳头溢液性乳腺疾病诊断中的应用价值。方法2007年6月至2008年8月，对65例乳头溢液的病例运用了纤维乳管镜检查，观察溢液导管及其分支的管腔和管壁结构，发现并确定病灶位置，记录病变导管的形态特征；将溢液性质、检查结果、手术病理结果进行总结分析。结果镜检诊断乳腺癌3例，乳头状瘤29例，乳头状瘤病7例，乳管扩张症11例，乳管炎症14例，溢乳症1例，经病理证实符合率92．9％。结论纤维乳管内视镜能够更准确、直观地明确乳头溢液性乳腺疾病的病因、病变范围及部位，提高了早期乳腺癌的检出率。

Objective To explore the value of fiberoptic ductoscopy in diagnosis of nipple discharge diseases. Methods From June 2007 to＇ August 2008,65 patients with nipple discharge were examined by fiberoptic ductoscopy, to investigate concerned duct with its branch and define location and extent of intraductal leisions. The relationship between the nipple discharge colors, examination results and pathological results were analyzed. Results Of the 65 cases,3 cases were diagnosed as breast cancer,29 papilloma,7 papillomatosis, 11 mammary duct ectasia, 14 inflammatory disease of mammary, and 1 galactorrhea. 92.9% of them acted in accord with the pathological diagnosis. Conclusions Breast fiberoptic ductoscopy can confirm etiological factors and locate the site of nipple discharge, and is effect in diagnosis of early breast cancer.