应用纤维乳管镜诊治125例乳头溢液患者体会

Fiberoptic ductoscopy in the diagnosis and treatment of 125 cases of nipple discharge disease

目的：讨论乳管内镜诊断乳头溢液疾病的意义。方法：2008年8月至2010年7月对125例乳头溢液行纤维乳管镜检查患者临床资料进行回顾分析。结果：125例乳头溢液患者，纤维乳管镜检查诊断乳管内乳头状瘤52例，乳腺癌3例，乳管炎24例，乳管扩张32例，14例未见异常。诊断符合率乳管内乳头状瘤、乳腺癌分别为75．5％和66．7％，而乳管炎、乳管扩张分别为100％和94．4％，总符合率83．5％。结论：纤维乳管镜操作简便，可以直视，创伤小，特异性较高的检查，与病理符合率较高，是对乳头溢液最有效的诊断手段。同时纤维乳管镜也是对乳头溢液的一种微创治疗方法，避免了部分患者不必要的较大创伤性乳腺手术。

Objective To explore the value of fiberoptic ductoscopy in diagnosis of nipple discharge diseases.Methods The data of 125 eases admitted from August 2008 to July 2010 were analyzed.All the cases were examined by breast fiberoptic duetoscopy and compared between preoperative diagnosis and pathologic diagnosis. Results Of the 125 eases,3 cases were diagnosed as breast cancer （66.7% of them acted in accord with the pathological diagnose）,52 papilloma （75.5%）, 32mmnmary duct eetasia （94.4%）,24 inflammatory disease of mammary （ 100% ）. Conclusion Breast fiberoptic ductoscopy can confirm etiological faetoi and locate the site of nipple discharge, and is effect in diagnosis of early breast cancer. FDS can effec tively improve the diagnosis of nipple discharge, and has great clinical sig- nificance.