红外乳腺导管造影术诊断乳头溢液的临床价值

Clinical value of infrared scanning mammary ductography with galactography for diag nosis of patients with nipple discharge

目的 探索用红外乳腺诊断仪行乳腺导管造影的方法及其对乳头溢液诊断的意义。方法 10 6例乳头溢液病人 ,同时行选择性X线乳腺导管造影和经导管注入美蓝造影用红外乳腺诊断仪观察 ,全部病例均经手术及病理证实。结果 X线乳腺导管造影与红外乳腺诊断仪乳腺导管造影对有乳头溢液的乳腺癌、乳腺导管内乳头状瘤、乳腺导管扩张症和乳腺腺病的病理学诊断符合率分别为 83 3 %、91 8%、10 0 %、90 0 %与 70 8%、65 6%、10 0 %和 3 0 8%。结论 作为一种简单、方便的方法 。

Objective To investigate the method of infrared scanning mammary ductography and its significance in the diagnosis of patients with nipple discharge. Methods The galactography and infrared scanning mammary ductography were used to detect the patients with nipple discharge and the results were verified by operation and pathological examinations in 106 patients with nipple discharge. Results The diagnostic rates of galactography and infrared scanning mammary ductography for breast carcinoma, intraductal papilloma of breast, mammary duct ectasia and adenosis of mammary gland were 83 3%, 91 8%, 100%, 90 0% and 70 8%, 65 6%, 100%, 30 8%, respectively. Conclusion Infrared scanning mammary ductography, a simple and convenient method, is helpful for the diagnosis and treatment of part of patients with nipple discharge.