纤维乳管镜在病理性乳白色乳头溢液中的诊疗价值

The diagnostic value of fiberoptic ductoscopy of the breast as an examination tool for pathological nipple discharge

目的探讨纤维乳腺导管镜（fiberoptic ductoscopy，FDS）在病理性乳白色乳头溢液中的诊断价值。方法回顾性分析2011年10月至2016年10月在成都市第三人民医院行FDS检查的1688例患者中病理性乳白色乳头溢液的患者资料，对乳白色乳头溢液患者的病变结果进行分析。结果1688例患者中，乳白色乳头溢液患者所占比例为30．o％，超过我院行FDS检查的血性乳头溢液（15％）、黄色乳头溢液（24．5％）的比例。同时乳白色乳头溢液的患者中病变的检出率为9.3％，其中乳腺癌的检出率为6．1％。结论病理性乳白色乳头溢液也应常规行FDS检查排除导管内病变，需提升临床对其的重视度。

Objective To investigate the diagnostic value of fiberoptic ductoscopy （FDS） in pathological milky white nipple discharge. Methods The data of 1688 patients with pathological milky white nipple discharge who underwent FDS examination in Chengdu Third People＇s Hospital from Oct. 2011 to Oct. 2016 were analyzed retrospectively. Results Among the 1688 cases, the proportion of patients with milky white nipple discharge was 30%, higher than that of the bloody discharge （15%） and yellow liquid （24.5%）. The detection rate of lesions in patients with milk nipple discharge was 9.3%,among whom 6.1% was breast cancer. Conclusions FDS should be routinely performed in patients with pathological milky white nipple discharge, as an examination tool to exclude the intra ductal lesion. The disease should be paid more attention by physicians.