目的：探讨乳管镜在乳头溢液疾病中的价值。方法乳头溢液患者105例，自溢液管插入纤维乳管镜观察溢液乳管及其分支的结构及内容物状况，发现并确定病灶位置。结果乳管镜插入成功率100%，镜下发现乳管内肿物68例（64.76%）；诊断为乳头状瘤53例，乳头状瘤病5例，乳腺导管癌7例（其中似原位导管癌3例），乳管扩张、炎症27例。手术92例，经病理证实对乳腺癌诊断的灵敏度87.5%（7/8），特异度98.82%（84/85）。结论乳管镜检查为乳头溢液病因诊断的首选方法，对导管癌及癌前病变的早期发现有重要价值。%Objective To evaluate the value of ifberoptic ductoscopy in diagnosis of nipple discharge diseases.Methods 105 patients with nipple discharge liquid were examined by ifberoptic ductoscopy, to investigate concerned duct with its branch and deifne location and extent of intraductal leisions.Results Breast duct endoscope insertion success rate 100%, endoscopic ifndings of intraductal tumor in 68 cases(64.76%); diagnosis of papillary tumor in 53 cases, 5 cases of papillary hyperplasia, 7 cases of ductal carcinoma of the breast(which resembles the ductal carcinoma in situ in 3 cases), inlfammation in 27 cases, breast duct dilatation. Operation in 92 cases conifrmed by pathology, 87.5% sensitivity in the diagnosis of breast cancer(7/8), a speciifcity of 98.82%(84/85). Conclusion Fiberoptic ductoscopy overlfow the preferred method for liquid etiological diagnosis of nipple, on early ductal carcinoma and precancerous lesions was found to have an important value.
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