纤维乳腺导管内窥镜诊治疾病的价值体会

Experiences of fibroptic ductoscopy in diagnosing and treating diseases

目的:探讨纤维乳腺导管内窥镜对导管内病变的诊治价值。方法:对100例乳头溢液患者进行了乳管镜检查。结果:100例乳头溢液患者中,乳腺导管扩张症16例,慢性乳管炎66例,乳管内乳头状瘤(病)12例,乳腺导管内癌2例,乳腺浸润性癌1例,3例为正常。结论:纤维乳腺导管内窥镜对于乳头溢液患者是一项安全且可靠检查方法,它既可初步判定溢液原因,又可对导管内病变进行定位,提高手术安全性,对于早期乳癌的发现也具极大意义。

Objective To explore the value of fibroptic ductoscopy（FDS） in the diagnosis and treatmen t of nipple discharge.Method For 100 consecutive patients with nipple discharge underwent FDS.Results Among the 100 patients with ni pple discharge,16 cases were diagnosed as intraductal dilatation,66 as mastiti s,12 as intraductal papilloma（papillomatosis）,2 as internal ductal carcinoma and 1 as invasive ductal carcinoma.Three patients were normal. Conclusion FDS is a noninvasive and reliable examination method for the diagnosis of nipple discharge.We can be aware of th e causes of nipple discharge.The localization by FDS is also very important in t he operation.FDS is also effectual in finding the early breast cancer.