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目的 提高对乳头溢液钼靶造影诊断的认识。方法 12 8例女性 ,年龄 2 7～ 71岁 ;其中血性溢液 70例 ,浆液 5 8例 ;病程 1周至 10年不等 ;全部病例均有钼靶平片和钼靶造影片。结果 (1)导管扩张症 3 0例。其中扩张≤ 3mm12例 ,3 .1～ 5mm 16例 ,(2 )导管内单发乳头状瘤 5 7例 ,其中 2 9例表现导管内充盈缺损 ,2 5例表现导管呈杯口状堵塞 ,3例表现为囊状扩张 ,(3 )导管内乳头状瘤病 3 8例 ,其中 2 4例表现导管内多发充盈缺损改变 ,14例表现为多发导管杯口状堵塞 ,(4 )乳腺癌 3例 ,表现为导管不规则狭窄 ,僵硬阻塞改变。结论 乳腺导管造影对乳头溢液具有较高的诊断价值。
Objective To improve the diagnosis of nipple discharge molybdenum target. Methods Twelve female patients, aged 27-71 years old, of whom 70 were bloody discharges and 58 were serous. The course ranged from 1 week to 10 years. All cases had mammography and mammography. Results (1) catheter dilatation 30 cases. Among them, there were 12 cases of ≤3 mm in size and 16 cases of 3. 1-5 mm in diameter. (2) There were 57 cases of intraductal single papilloma, of which 29 cases showed intraductal filling defect, 25 cases showed ductal obstruction, and 3 Cases showed cystic dilatation, (3) 38 cases of intraductal papillomatosis, of which 24 cases showed multiple filling changes within the defect, 14 cases showed multiple ductal obstruction, (4) 3 cases of breast cancer , Manifested as irregular catheterization, rigid obstruction change. Conclusion Mammography has a high diagnostic value on nipple discharge.