乳管镜对乳管内非占位性病变治疗价值研究

Treatment value of ductoscopy for breast intraductal non space-occupying lesions

目的探讨乳管镜在乳管内非占位性病变中的治疗价值。方法选取中国医科大学附属第四医院乳腺外科2015年1—12月行乳管镜检查的388例乳头溢液患者,对其中的乳管内非占位性病变患者行乳管镜下冲洗治疗,并在治疗后6个月行电话随访。结果本研究388例乳头溢液患者中,301例经乳管镜诊断为乳管内非占位性病变,其中,乳管扩张症17例、乳管炎190例、乳管炎合并乳管扩张症94例。乳管镜下冲洗治疗6个月后进行电话随访,共获得随访281例,随访率为93.4%(281/301)。其中,156例治愈,87例好转,38例无效,治愈率为55.5%(156/281),有效率为86.5%(243/281)。结论乳管镜能够有效诊断乳管内非占位性病变,乳管镜下冲洗治疗取得较好疗效。

Objective To evaluate the treatment value of ductoscopy for breast intraductal non space-occupying lesions. Methods A retrospective study was performed on 388 patients with nipple discharge who were admitted and underwent ductoscopy examination from January to December 2015. The patients with intraductal non space-occupying lesions were treated with irrigation treatment by ducto- scopy. After 6 months, telephone follow-up was conducted. Results All the 388 patients, there were 301 cases were diagnosed with in- trductal non space-occupying lesions,including 17 cases of mammary duct ectasia, 190 cases of galactophoritis, and 94 cases of mam- mary duct ectasia with galactophoritis. Six months after irrigation treatment by ductoscopy, telephone follow-up was conducted to 281 cases and the follow-up rate was 93.4% （281/301）, including 156 cases were cured,87 cases were improved, and 38 cases were inva- lid. The cure rate was 55. 5% （ 156/281 ） and the efficiency was 86. 5% （243/281）. Conclusion Ductoscopy is effective in treatment for breast intraductal non space-occupying lesions, and the curative effect is achieved by the irrigation treatment under the ductoscopy.