乳腺导管内乳头状病变的乳管内视镜检查

Fiberoptic ductoscopy for patients with intraductal papillary lesions

目的 探讨乳管内乳头状病变行乳管内视镜检查的临床意义。 方法 乳头溢液患者行乳管内视镜检查 ,对其中乳管内乳头状病变患者在乳管内视镜下的特点予以分析。 结果 92例乳管内乳头状病变的患者中 ,单发性乳头状瘤 6 8例 ,多发性乳头状瘤 2 1例 ,乳头状瘤病 3例。共发现 114个病灶 ,其中 2 9 8%的病灶位于总乳管 ,43 9%位于乳管的Ⅰ级分支 ,17 5 %位于Ⅱ级分支 ,位于Ⅲ级和Ⅳ级分支的病灶仅占 7 9%和 0 9%。病灶距乳头开口的平均距离为 2 7cm。 5例患者乳管内视镜检查未见新生物。 结论 乳管内视镜可以对乳管内乳头状病变作出明确的诊断和定位 。

Objective To investigate the clinical significance of fiberoptic ductoscopy in patients with intraductal papillary esions. Methods Fiberoptic ductoscopy was applied to patients with nipple discharge. The characteristics of those with intraductal papillary lesion were analysed.Results 92 patients were found to have intraductal papillary lesions. 68 patients were revealed to have single papillomas and 21 mutiple papilloma. Three patients were diagnosed with papillomatosis. A total of 114 lesions were observed. 29 8% of these lesions were located in the segmental duct. 43 9% lesions were located in the first branch of the segmental duct and 17 5% in the second branch. Only 7 9% and 0 9% lesions were located in the third and the fourth branch. The average distance from lacterous pore to papillary lesion was 2 7 cm. Fiberoptic ductoscopy did not find lesions in 5 patients Conclusions Fiberoptic ductoscopy can be used to diagnose and locate intraductal papillary lesions. It is an effective diagnostic method for nipple discharge.