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全数字化乳腺导管造影对乳头溢液性病变的诊断价值

Diagnostic value of full digital galactography in nipple discharge diseases
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摘要 目的应用乳腺钼靶摄影及乳腺导管造影,探讨乳头溢液性病变的X线表现。方法回顾性分析我院2010年8月—2012年9月间42例乳头溢液患者的临床资料及其乳腺导管造影的影像学表现,并与手术病理结果作对照。结果导管内乳头状瘤22例,乳腺导管扩张症10例,乳腺囊性增生症4例,乳腺导管慢性炎症2例,导管癌2例,2例正常。术前诊断与病理诊断相符合的有32例,X线诊断的正确率为86.2%(32/42)。结论乳腺导管造影检查对乳头溢液性疾病的诊断具有重要的价值,可为临床定位、定性诊断与治疗提供依据。 Objective To explore the X-ray findings of nipple discharge diseases via galactography and mammography. Methods A total of 42 patients with nipple discharge diseases from August 2010 to September 2012 were retrospectively analyzed in terms of their X-ray findings, which was then compared with the reports on intraoperative pathological examination. Results Intraductal papilloma was found in 22 cases, breast ductal ectasia in 10 cases, breast hyperplasia in 4 cases, chronic mastitis in 2 cases, ductal carcinoma in 2 cases, and normal pathological findings in 2 cases. The preoperative diagnosis was in accord with pathological diagnosis in 32 cases, X-ray accurate rate was 86.2% (32/42). Conclusion Mammary gland catheter angiography examination is of important value in diagnosis of nipple discharge diseases, for it provides positioning diagnosis and clues to treatment.
作者 方燕燕 贾雄
出处 《临床军医杂志》 CAS 2013年第5期532-533,539,共3页 Clinical Journal of Medical Officers
关键词 导管造影 乳头溢液 X线表现 诊断 galactography nipple discharge X-ray finding diagnosis
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