中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2013年
9期
679-681
,共3页
地力木拉提·艾斯木吐拉%栾梅香%王永高%樊珈榕%杨纾旖%阿迪力
地力木拉提·艾斯木吐拉%欒梅香%王永高%樊珈榕%楊紓旖%阿迪力
지력목랍제·애사목토랍%란매향%왕영고%번가용%양서의%아적력
乳腺疾病%内窥镜检查%乳头溢液%导管内病变
乳腺疾病%內窺鏡檢查%乳頭溢液%導管內病變
유선질병%내규경검사%유두일액%도관내병변
Breast diseases%Endoscopy%Nipple discharge%Intraductal lesion
目的 探讨新疆地区汉族、维吾尔族、哈萨克族及其他民族的妇女乳腺乳头溢液与乳腺导管内病变的关系.方法 收集2004-2010年3154例经病理组织证实,纤维乳管镜检查、手术治疗的导管内病变患者临床资料并进行统计分析.结果 3154例导管内病变包括导管内上皮普通型增生(usual ductal hyperplasia,UDH) 335例(10.62％),导管上皮非典型增生(atypical ductal hyperplasia,ADH)312例(9.89％),导管原位癌(ductal carcinoma in situ,DCIS)57例(1.81％)、导管内乳头状瘤(intraductal papilloma,IDP) 2223例(70.48％)、浸润性导管癌(infiltrating ductal carcinoma,IDC) 227例(7.20％).发病年龄在30 ～50岁占71.99％,各民族之间差异无统计学意义(P＞0.05).导管内病变ADH汉族多见(11.42％),UDH维吾尔族多见(19.73％),IDC哈萨克族多见(15.74％)(均P ＜0.05)；IDP和DCIS的发病率在各民族之间差异无统计学意义(P＞0.05)；溢液性质与导管内病变关系比较结果:UDH、ADH、DCIS及IDP以浆液性溢液为主,分别为64.78％(217/335),59.94％(187/312),45.61％ (26/57),46.92％ (1043/2223),血性溢液主要见于IDC、DCIS,分别为84.14％(191/227)、42.11％(24/57)(均P＜0.05).结论 乳头溢液可能是导管内病变的早期表现,不同民族导管内不同病变构成比有差异.
目的 探討新疆地區漢族、維吾爾族、哈薩剋族及其他民族的婦女乳腺乳頭溢液與乳腺導管內病變的關繫.方法 收集2004-2010年3154例經病理組織證實,纖維乳管鏡檢查、手術治療的導管內病變患者臨床資料併進行統計分析.結果 3154例導管內病變包括導管內上皮普通型增生(usual ductal hyperplasia,UDH) 335例(10.62％),導管上皮非典型增生(atypical ductal hyperplasia,ADH)312例(9.89％),導管原位癌(ductal carcinoma in situ,DCIS)57例(1.81％)、導管內乳頭狀瘤(intraductal papilloma,IDP) 2223例(70.48％)、浸潤性導管癌(infiltrating ductal carcinoma,IDC) 227例(7.20％).髮病年齡在30 ～50歲佔71.99％,各民族之間差異無統計學意義(P＞0.05).導管內病變ADH漢族多見(11.42％),UDH維吾爾族多見(19.73％),IDC哈薩剋族多見(15.74％)(均P ＜0.05)；IDP和DCIS的髮病率在各民族之間差異無統計學意義(P＞0.05)；溢液性質與導管內病變關繫比較結果:UDH、ADH、DCIS及IDP以漿液性溢液為主,分彆為64.78％(217/335),59.94％(187/312),45.61％ (26/57),46.92％ (1043/2223),血性溢液主要見于IDC、DCIS,分彆為84.14％(191/227)、42.11％(24/57)(均P＜0.05).結論 乳頭溢液可能是導管內病變的早期錶現,不同民族導管內不同病變構成比有差異.
목적 탐토신강지구한족、유오이족、합살극족급기타민족적부녀유선유두일액여유선도관내병변적관계.방법 수집2004-2010년3154례경병리조직증실,섬유유관경검사、수술치료적도관내병변환자림상자료병진행통계분석.결과 3154례도관내병변포괄도관내상피보통형증생(usual ductal hyperplasia,UDH) 335례(10.62％),도관상피비전형증생(atypical ductal hyperplasia,ADH)312례(9.89％),도관원위암(ductal carcinoma in situ,DCIS)57례(1.81％)、도관내유두상류(intraductal papilloma,IDP) 2223례(70.48％)、침윤성도관암(infiltrating ductal carcinoma,IDC) 227례(7.20％).발병년령재30 ～50세점71.99％,각민족지간차이무통계학의의(P＞0.05).도관내병변ADH한족다견(11.42％),UDH유오이족다견(19.73％),IDC합살극족다견(15.74％)(균P ＜0.05)；IDP화DCIS적발병솔재각민족지간차이무통계학의의(P＞0.05)；일액성질여도관내병변관계비교결과:UDH、ADH、DCIS급IDP이장액성일액위주,분별위64.78％(217/335),59.94％(187/312),45.61％ (26/57),46.92％ (1043/2223),혈성일액주요견우IDC、DCIS,분별위84.14％(191/227)、42.11％(24/57)(균P＜0.05).결론 유두일액가능시도관내병변적조기표현,불동민족도관내불동병변구성비유차이.
Objective To explore the relationship between intra-ductal lesion and breast nipple discharge in Han,Uyghur and Kazakh ethnic patients in Xinjiang Uygur Autonomous Region.Methods Fiberoptic ductoscopy and surgery were performed in 3154 pathologically confirmed intra-ductal lesion patients and clinical data were retrospectively analyzed.Results Of 3154 patients with intraductal lesions,335 were usual ductal hyperplasia (UDH,10.62％),312 were atypical ductal hyperplasia (ADH,9.87％),57 were ductal carcinoma in situ (DCIS,1.81％),2223 were intraductal papilloma (IDP,77.91％),and 227 were infiltrating ductal carcinoma (IDC,7.20％).In 71.99％ of reported cases,ages ranged from 30 to 50 years with no statistical significance between different ethnic groups (P ＞ 0.05).ADH was mostly seen in Han patients (11.42％),UDH in Uygur patients (19.73％),and IDC in Kazakh patients (15.74％) (P ＜ 0.05).However,there was no significant differences shown for IDP and DCIS between different ethnic groups (P ＞ 0.05).The serous discharge was mainly seen in UDH (64.78％,217/335),ADH (59.94％,187/312),DCIS (45.61％,26/57),and IDP (46.92％,1043/2223).However,bloody discharge was mainly seen in IDC (84.14％,191/227),and DCIS (42.11％,24/57)with statistically significant differences (P ＜ 0.05).Conclusions Breast nipple discharge could be an early manifestation of intra-ductal lesions,and spectrum of intra-ductal lesions differs in different ethnic groups.
