乳腺导管造影对溢液性乳腺病的诊断

The diagnosis of breast galactography on disease with nipple discharge

目的 探讨乳腺导管造影术在溢液性乳腺病的诊断价值。方法 回顾性分析经临床与手术病理证实的 160例溢液性患者的乳腺导管造影片的X线表现。结果 乳腺导管造影表现的分类 ,导管正常者 10例 ,占 6.2 5 % ;单纯性导管扩张者 92例 ,占 5 7.5 % ;导管扩张伴炎症 4例 ,占 2 .5 0 % ;导管扩张伴乳腺增生 12例 ,占 7.5 0 % ;导管内乳头状瘤 4 0例 ,占 2 5 .0 0 % ;导管癌 2例 ,占 1.2 5 %。结论 乳腺导管造影术对溢液性乳腺病的诊断与鉴别诊断有很大的价值 ,为临床提供可靠的诊断治疗依据。

Objective To evaluate the value of the galactography in the diagnosis of breast disease with nipple discharge.Methods The galactography findings of 160 cases of breast disease with nipple discharge proved by clinic and pathology were analysed retrospectively.Results Breast ductal normal were 12 cases (6.25%), breast ductal ectasia were 92 cases (57.5%), breast ductal ectasia with chronic mastitis were 4 cases (2.5%), breast ductal ectasia with hyperplasia were 12 cases (7.5%), intraductral papilloma were 40 cases (25%), ductral carcinoma were 2 cases (1.25%). Conclusion Breast galactography is helpful for diagnosis and differentiation of the breast disease with nipple discharge, so it has significance in evaluating the breast disease with nipple discharge.