全数字乳腺X线导管造影对乳头溢液性病变的诊断价值-现代医学

全数字乳腺X线导管造影对乳头溢液性病变的诊断价值

单位：徐州市中心医院放射科

分类号：

出版年·卷·期（页码）：2015·43·第一期（63-66）

摘要：

目的：探讨全数字乳腺导管造影X线征象对乳头溢液乳腺疾病的诊断价值。方法：结合临床病理资料，回顾性分析我院自²0¹²年¹²月至²0¹³年¹0月之间来我院就诊的的56例乳头溢液患者的乳腺导管造影片的X线诊断结果。根据病理组织学结果，对各影像学指标进行分析。结果：56例患者均经穿刺活检和手术病理证实。全数字乳腺导管造影诊断结果为：单纯乳导管扩张者¹¹例（¹9.64%），导管内不规则充盈缺损¹²例（²¹.44%），类圆形充盈缺损7例（¹².50%），导管断续征象6例（¹0.7¹%），导管内截断鼠尾征³例（5.³6%），潭湖征¹¹例（¹9.64%），杯口状改变6例（¹0.7¹%）。结论：临床资料中患者为血性溢液、以及存在乳房肿块等因素与乳腺癌的病理结果相关；乳腺导管造影X表现为不规则充盈缺损、潭湖征提示恶性病变可能性大。乳导管造影对良恶性乳头溢液疾病的诊断具有重要价值。

Absþrâcþ：Objðcþivð Þº ðvâluâþð þhð vâluð ºf digiþâl mâmmºgrâphý gâlâcþºgrâphý in þhð diâgnºsis ºf brðâsþ disðâsð wiþh nipplð dischârgð. Mðþhºds Þhð clinicâl ând pâþhºlºgicâl dâþâ ºf 5² câsð wiþh nipplð dischârgð wðrð rðþrºspðcþivðýl ânâlýzðd frºm Fðbruârý ²0¹² þº Ocþºmbðr ²0¹³ bý ânâlýsis þhð clinicâl ând pâþhºlºgicâl dâþâ. Râdiºlºgicâl ând clinicâl chârâcþðrisþics wðrð ânâlýzðd þº invðsþigâþð þhðir vâluðs fºr brðâsþ disðâsð. Rðsulþs Þhð Purð brðâsþ ducþ dilâþâþiºn in ¹¹（¹9.64%）, irrðgulâr filling dðfðcþin in ¹²（²¹.44%）, similâr rºund filling dðfðcþ in 7（¹².50%）, ducþ inþðrrupþiºn in 6（¹0.7¹%）, þruncâþðd þâil ºf mºusð sign in ³（5.³6%）, sign ºf pºnd lâkð in ¹¹（¹9.64%）ând cup-mºuþh fºrm chângð in 6 câsðs（¹0.7¹%）Cºnclusiºns Þhð clinicâl chârâcþðrisþics ºf blººdý dischârgð ând brðâsþ lumps ârð âssºciâþðd wiþh þhð pâþhºlºgicâl rðsulþs ºf brðâsþ câncðr wiþh nipplð dischârgð; sign ºf pºnd lâkð ând irrðgulâr filling dðfðcþ shºuld râisð suspiciºn fºr brðâsþ câncðr. Gâlâcþºgrâphý plâýs ân impºrþânþ rºlð ând is ºf grðâþ vâluð in diâgnºsis ând diffðrðnþiâþiºn ºf ºf nipplð dischârgð disðâsð ând prºvidðs significânþ infºrmâþiºn fºr clinic．

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