摘要
目的:探讨乳头溢血的各种诊断方法,为临床准确诊断、及时治疗提供合理方法和依据。方法:回顾性分析150例乳头溢血患者的临床资料。结果:乳头溢血涂片法细胞学诊断乳腺癌的准确率为55.0%,钼靶X线摄片诊断准确率为67.5%,乳管镜检查诊断准确率为72.5%,三者联合诊断乳腺癌的准确率为97.5%。联合检查的术前诊断准确率优于单独应用乳头溢液涂片、钼靶X线摄片和乳管镜检查法,差异有统计学意义(P<0.05)。150例乳头溢血的患者术后病理证实为导管内乳头状瘤66.00%,乳腺癌26.67%,囊性增生、炎症、导管扩张症7.33%。结论:联合诊断可提高乳头溢血术前诊断准确率。
Objective To summarize the combined diagnosis and treatment experience of bloody nipple discharge before operation.Methods A total of 150 cases of bloody nipple discharge with surgical treatment were studied retrospectively.Results The correct diagnostic rate of bloody nipple discharge cytohistology on breast cancer was 55.0%,X-ray mammography was 67.5%,and mammary ductoscopy was 72.5%.The correct diagnostic rate of combined methods was 97.5%.The postoperative pathology proved 99 cases of intraductal papilloma（66.0%）,40 cases of breast cancer（26.67%）,11 cases of cystic hyperplasia and ductal ectasia and inflammation（7.33%）.Conclusion The combined method of cytohistology,X-ray and mammary ductoscopy can improve the correct diagnostic rate.
出处
《中华实用诊断与治疗杂志》
2009年第10期968-969,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
乳腺癌
乳头溢血
诊断
手术治疗
Breast cancer
nipple bloody discharge
diagnosis
surgical treatment
