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目的:探讨乳管镜引导下导丝定位切除乳管内肿瘤的临床应用价值。方法:35例乳头溢液患者乳管镜发现病变后,在乳管镜引导下行乳管病变细导丝定位。然后在导丝引导下切除病变的乳管。结果:35例患者中5例患者粗探针扩张乳管时乳管破裂,进入假道,导丝置入失败。2例患者行快速冰冻病理检查时于导丝附近未发现病灶,经石蜡病理确诊,其余患者均于导丝附近发现病灶,快速冰冻病理即做出明确诊断。结论:乳管镜引导下导丝定位乳管内占位安全、可靠,提高了乳管内肿瘤诊断的准确率。
Objective: To investigate the clinical value of ductal guide-wire guided removal of intraductal tumors. Methods: 35 cases of nipple discharge in patients with ductal lesions were found, under the guidance of ductal catheter tube thinning catheter positioning. Then under the guidance of the guide wire to remove the diseased duct. Results: In 35 patients, 5 patients had ruptured the ducts when the crude probe dilated. Two patients underwent rapid frozen pathological examination in the vicinity of the guide wire was not found lesions confirmed by paraffin pathology, the rest of the patients were found in the vicinity of the guide wire lesions, fast frozen pathology that is to make a clear diagnosis. Conclusion: The placement of the guidewire in the duct under the guidance of ductoscopy is safe and reliable, which improves the accuracy of tumor diagnosis in the duct.