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目的 :对照研究乳头溢液病人的单纯溢液细胞学检查与乳腺导管内视镜乳管冲洗液细胞学检查对乳腺恶性病诊断的差别。方法 :乳头溢液病人 3 2 5例先行单纯溢液细胞学检查 ,然后再行乳腺导管内视镜乳管冲洗液沉积细胞学检查 ,比较两者乳腺恶性病的阳性率。结果 :乳腺导管内视镜乳管冲洗液细胞学检查对乳腺癌的检出率明显高于单纯溢液涂片细胞学检查。结论 :用乳腺导管内视镜行乳管冲洗液检查能够更准确、更早的检出乳腺恶性病
OBJECTIVE: To compare the diagnosis of breast malignant neoplasm with single spill cytology and ductal fluid cytology in breast ductal endoscopy in patients with nipple discharge. Methods: 355 patients with nipple discharge were treated with simple sporadic cytology. Then the cytology of breast ductal lavage fluid was performed. The positive rates of both breast malignant diseases were compared. Results: The detection rate of breast ductal cytology in breast ductal endoscopy was significantly higher than that of simple discharge cytology. Conclusion: Ductal ductoscopy with breast duct fluid examination can be more accurate and earlier detection of breast malignant disease