医学影像学杂志2024,Vol.34Issue(2) :57-60.

纤维乳管镜联合超声乳管造影对病理性乳头溢液的诊断价值研究

The diagnostic value study of fiberoptic ductoscopy combined with ultrasound galactography in pathological nipple dis-charge

薛晓蕾 吴丽萍 刘鸿玉 张金庆 孙英姿
医学影像学杂志2024,Vol.34Issue(2) :57-60.

纤维乳管镜联合超声乳管造影对病理性乳头溢液的诊断价值研究

The diagnostic value study of fiberoptic ductoscopy combined with ultrasound galactography in pathological nipple dis-charge

薛晓蕾 1吴丽萍 1刘鸿玉 1张金庆 2孙英姿1
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作者信息

  • 1. 山东大学附属山东省立第三医院 超声医学科 山东 济南 250031
  • 2. 山东大学附属山东省立第三医院 甲状腺乳腺外科 山东 济南 250031
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摘要

目的 探讨纤维乳管镜(fiberoptic ductoscopy,FDS)联合超声乳管造影对病理性乳头溢液(pathological nipple discharge,PND)的诊断价值.方法 选取山东省立第三医院就诊并行手术治疗的 40 例PND患者,结合病理结果分析X线乳管造影、FDS及FDS联合超声乳管造影对PND诊断的准确率、灵敏度、特异度、阳性及阴性预测值.结果 40 例患者术后病理证实恶性病变 9 例,良性病变 31 例.FDS联合超声乳管造影诊断结果和病理诊断结果一致性较强.FDS联合超声乳管造影诊断PND的准确率、灵敏度、特异度、阳性预测值和阴性预测值均高于X线乳管造影和FDS单独诊断.结论 FDS联合超声乳管造影对PND具有较高的诊断价值,能提高早期诊断率,避免漏诊或盲目的手术干预.

Abstract

Objective To evaluate the diagnostic value of fiberoptic ductoscopy(FDS)combined with ultrasound galactogra-phy in pathological nipple discharge(PND).Methods A total of 40 patients with PND who underwent surgical treatment in the Shandong Provincial Third Hospital were collected.Combined with pathological results,the accuracy,sensitivity,specific-ity,positive and negative predictive values of X-ray galactography,FDS and FDS combined with ultrasound galactography in the diagnosis of PND were analyzed.Results The postoperative pathology results of 40 patients confirmed malignancy in 9 cases and benignity in 31 cases.The consistency between the diagnostic results of FDS combined with ultrasound galactography and the pathologic diagnostic results was strong.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of PND diagnosed by FDS combined with ultrasound galactography were higher than that of X-ray galactography or FDS alone.Conclusion FDS combined with ultrasound galactography has a high diagnostic value for PND,which improves the early diagnostic rate and avoids the missed diagnosis or blind surgical intervention.

关键词

乳头溢液/纤维乳管镜/X线乳管造影/超声乳管造影

Key words

Nipple discharge/Fiberoptic ductoscopy/X-ray galactography/Ultrasound galactography

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基金项目

山东省医药卫生科技发展计划项目(202009021072)

出版年

2024
医学影像学杂志
山东医学影像学研究会,山东医学影像学研究所

医学影像学杂志

CSTPCD
影响因子:1.157
ISSN:1006-9011
参考文献量16
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