CAJ | 학술논문

目的评价乳管内窥镜对乳头溢液诊治的作用。方法应用FVS-3500乳腺纤维导管镜系统对200例乳头溢液患者进行诊治。结果本组200例，共210个溢液孔，插入204个孔，成功率达97.0%。本组发现早期乳腺癌9例（4.5%），乳头状瘤63例（31.5%），乳头状瘤病3例（1.5%），导管扩张或伴炎症96例（48.0%），"正常"导管29例（14.5%）。活检吸出肿块10例，导管慢性炎症灌注药物冲洗治愈25例，手术患者共67例，经病理证实符合率达95.0%，乳头溢液涂片检查阳性率仅为乳管内窥镜的1/3。结论乳管内窥镜可插入到4级乳腺导管，能早期诊断乳腺癌。对部分乳头状瘤和导管慢性炎症可以作介入治疗，在乳腺外科中有广泛应用前途。
목적평개유관내규경대유두일액진치적작용。방법응용FVS-3500유선섬유도관경계통대200례유두일액환자진행진치。결과본조200례，공210개일액공，삽입204개공，성공솔체97.0%。본조발현조기유선암9례（4.5%），유두상류63례（31.5%），유두상류병3례（1.5%），도관확장혹반염증96례（48.0%），"정상"도관29례（14.5%）。활검흡출종괴10례，도관만성염증관주약물충세치유25례，수술환자공67례，경병리증실부합솔체95.0%，유두일액도편검사양성솔부위유관내규경적1/3。결론유관내규경가삽입도4급유선도관，능조기진단유선암。대부분유두상류화도관만성염증가이작개입치료，재유선외과중유엄범응용전도。
Objective　 This study was to evaluate breast fiberoptic ductoscopy (FDS) in the diagnosis and treatment of abnormal niple discharge(AND). 　Methods　 FVS-3500 superfine fiberscopy system was used to treat and diagnose 200 cases with AND. 　Results　 210 orifices of nipple discharge were found in this group. FDS was successfully inserted into 204 orifices(97.0%).Early breast cancer was found in 9 cases(4.5%), papilloma and papillomatosis in 66 cases(33.0%),ductal ectasia and/or chronic inflammation in 96 cases(48.0%); "normal duct" in 29 cases(14.5%). Duct endoscopic biopsy was carried out in 10 cases. Chronic inflammation was cured by perfusion in 25 cases. 67 cases underwent surgery, diagnosis was confirmed by pathology in 95.0% with a positive rate 3 times as high as that of smear cytology.　 Conclusions　 FDS enables the evaluation on 4th ductal lumen and detection of early breast cancer. Interventional treatment was successful in some intraductal papilloma and chronic inflammatory disease.