乳管镜在乳头溢液疾病中的临床应用

目的探讨纤维乳管镜在乳头溢液疾病中诊断和治疗的应用价值。方法对2006年3月至2007年3月在我院行纤维乳管镜检查及冲洗的27例患者的临床资料进行回顾性分析。结果27例患者中，乳管镜诊断为乳管内乳头状瘤12例（其中1例为导管原位癌），乳头状瘤病5例，乳管扩张及乳管炎共8例，未见明显异常2例。乳管内乳头状瘤和乳头状瘤病的镜下诊断与病理诊断符合率分别为91．7％（11／12）和80．0％（4／5）。结论纤维乳管镜可在直视下对乳头溢液疾病进行检查和冲洗，诊断准确率较高，是临床上对乳头溢液疾病进行诊断和治疗的可靠方法。

The application of fiberoptic ductoscopy in the diseases of nipple discharge

Objective To investigate the applied value of fiberoptic duetoscopy in the diagnosis and therapy for nipple discharge. Methods From March 2006 to March 2007, the clinical data of 27 cases received fiberoptic ductoscopic examination and lavage were analyzed retrospectively. Results Among the 27 patients, 12 patients were diagnosed as intraductal papilloma by ductoscopy （1 case was as ductal carcinoma in situ）, 5 patients were diagnosed as papillomatosis. 8 cases were diagnosed as mammary duct ectasis or galactophoritis. No abnormality were found in 2 cases. The diagnostic coincidental rate of the intraductal papilloma and papillomatosis in the ductoscopy and pathology were 91.7%（ll/12）and 80% （4/5）respectively. Conclusion Examination and flush for nipple discharge can be carried out with fiberoptic ductoscopy under direct vision. With high diagnostic accuracy, fiberoptic ductoscopy is reliable for diagnosis and treatment of the nipple discharge.