CAJ | 학술논문

目的探讨单孔乳头溢液的诊断和手术治疗方法 .方法回顾分析近年在我院手术治疗的63例单孔乳头溢液病例.结果术后常规病理:导管内乳头状瘤42例,占66.7%;导管扩张症11例,占17.5%;乳腺腺病8例,占12.7%;乳腺癌2例,占3.2%.术后随访1～19个月,未发现乳头溢液复发病例.9例患者妊娠后生育,惠侧哺乳功能正常.结论单孔乳头溢液特别是血性溢液应手术治疗,对早期发现和早期治疗乳腺癌有重要的临床意义.染料引导法行区段切除术,不影响术后乳腺哺乳功能.
목적 탐토단공유두일액적진단화수술치료방법 .방법 회고분석근년재아원수술치료적63례단공유두일액병례.결과 술후상규병리:도관내유두상류42례,점66.7%;도관확장증11례,점17.5%;유선선병8례,점12.7%;유선암2례,점3.2%.술후수방1～19개월,미발현유두일액복발병례.9례환자임신후생육,혜측포유공능정상.결론 단공유두일액특별시혈성일액응수술치료,대조기발현화조기치료유선암유중요적림상의의.염료인도법행구단절제술,불영향술후유선포유공능.
Objective To study the diagnosis and surgical treatment of single-hole nipple dis-charge.Methods Clinical data of 63 cases with single-hole nipple discharge treated in recent years were analyzed retrospectively.Results Diagnoses of etiology were confirmed from pathology : intraductal papilloma was the cause in 42 (66.7%) ,duct ectasia in 11 patients (17.5%) ,breast hyperplasia in 8 patients ( 12.7% ) and breast eaneer in 2 patients ( 3.2% ).All the cases were followed up 1-19 months, no recurrence of nipple discharge was found, 9 cases after pregnancy gained normal function of breast-feeding.Conclusions The single-hole nipple discharge, especially bloody discharge should be treated by surgical way, It has important clinical significance for early detection and early treatment of breast cancer.Dye-guided method of excision section does not affect function of breast feeding.