摘要
目的 探讨乳管内窥镜对诊断及治疗浆细胞性乳腺炎的临床价值。方法 对 2 5 0例乳头溢液患者行乳管内窥镜检查 ,对其中 95例浆细胞性乳腺炎患者在乳管内窥镜下对乳管内病变的特点予以分析并加以分型研究。结果 95例浆细胞性乳腺炎患者中 ,Ⅰ型患者 2 1例 (2 2 1% ) ,Ⅱ型患者 4 3例 (4 5 3% ) ,Ⅲ型患者 18例 (18 9% ) ,Ⅳ型患者 13例 (13 7% )。非手术治疗 83例 ,症状完全缓解 4 5例 ,好转 38例。手术治疗 12例 ,均病理证实 ,其中 5例伴有中、重度不典型增生。结论乳管内窥镜可以对浆细胞性乳腺炎患者做出明确的诊断 ,并可对病变乳管进行定位 ,提示手术指征 ,使绝大多数患者避免手术 ,对需要手术活检的患者可缩小手术范围 。
Objective To evaluate the clinical significance of breast duct endoscope for plasma cell mastitis. Methods Breast duct endoscope was performed on 250 patients with nipple discharge. The characters of 95 cases of plasma cell mastitis under the breast duct endoscope were analyzed and studied. Results Among the 95 cases with plasma cell mastitis, 21 were in typeⅠ,43 in typeⅡ,18 in type Ⅲ and 13 in typeⅣ. Eighty three cases were treated with no operation treatment, and 45 completely released, 38 partly released. There were 5 cases with middle to serious atypical hyperplasia in 12 cases treated with operation, that were all confirmed by pathological examination. Conclusion In patients with plasma cell mastitis, clear diagnosis can be made through breast duct endoscope, and the breast duct with lesions could be positioned. It is a necessary assistant method for patients to avoid biopsy or decrease the biopsy range.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2004年第3期163-165,共3页
Chinese Journal of Surgery
