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《Chinese Journal of Breast Disease(Electronic Edition)》 2009-05
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Mammary ductoscopy in the diagnosis and treatment of nontumoural nipple discharge

LIU Ying-yi,XU Zhe-li.Department of Breast and Thyroid Surgery,China-Japan Friendship Hospital,Jilin University,Changchun 130033,China  
Objective To explore the clinical value of mammary ductoscopy in the diagnosis and treatment of adenosis of breast.Methods From March 2003 to March 2008,7426 patients were diagnosed as adenosis of breast by mammary ductoscopy in our hospital.Their age ranged from 25-74 years,with the mean of 36.8 years.All patients were female.According to mammary ductoscopic appearance,the patients were divided into a latex accumulation disease group(n=2466 cases),a closed galactophoritis group(n= 2026 cases)and a ductal ectasia group(n= 2934 cases).All the 3 groups were given mammary ductoscopy interventional therapy,3-4 weeks as one therapy course.All patients were followed up for 3-36 months.Results In the 7426 patients,the overall cure rate was 62.59%(4648/7426 cases),and the total effective rate was 93.33%(6931/7426 cases).The cure rate and effective rate were 72.91% and 96.15% in the latex accumulation disease group,and 53.95% and 90.57% in the closed galactophoritis group,and 59.88% and 92.88% in the ductal ectasia group,respectively.Complications included mammary duct chap in 25 cases,bacterium infection in 13 cases,and haematoma in 3 cases,no nosocomial infection was found.Conclusion Mammary ductoscopy has specific diagnosis for disease of latex accumulation,ductal ectasia and closed galactophoritis.Mammary ductoscopy interventional therapy is direct and effective.
【CateGory Index】: R655.8
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