乳管镜在乳头溢液疾病诊断中的应用

目的 报道乳管镜在以乳头溢液为主要症状的乳腺疾病诊断中的临床应用。方法2003年10月至2004年9月对169例乳头溢液患者行乳管镜检查和随访。结果发现乳管炎79例，导管内乳头状瘤62例，导管内乳头状瘤恶变或导管内癌9例，未见异常19例。随访发现，导管内乳头状瘤、导管内乳头状瘤恶变或导管内癌的乳管镜诊断率分别为89．8％（44／49）、55．6％（5／9）。仅1例检查后第2天出现患侧乳房疼痛及轻度潮红，口服抗生素3d后痊愈。结论乳管镜检查是惟一可直视下诊断乳头溢液的检查方法，它直接、安全、有效、准确性较高，是乳头溢液疾病诊断及治疗的新方法。

Application of Duct Endoscopy in Diagnosis of Nipple Discharge

Objective To evaluate the application of duct endoscopy in the diagnosis of breast diseases characterized by nipple discharge.Methods One hundred and sixty-nine consecutive cases from October 2003 to September 2004 who had duct endoscopy for nipple discharge were reviewed and followed up.Results Of 169 cases,79 ductitis,62 intraductal papilloma,9 intraductal carcinoma in situ,19 without breast diseases were diagnosed under duct endoscopy.During following up,the diagnostic accuracy of intraductal papilloma and intraductal carcinoma in situ with duct endoscopy was 89.8%(44/49) and 55.6%(5/9),respectively.There was only one patient who had breast pain and mild skin redness which was cured with oral antibiotics for 3 days.Conclusion Duct endoscopy is an only technique to explore the etiology for duct discharge under vision.It is direct,safe and effective,with a high accuracy.