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目的:探讨乳管镜联合乳腺彩超诊断乳头溢液早期乳腺癌的临床效果。方法:我院乳腺外科2010年7月至2014年12月收治42例早期乳腺癌伴乳头溢液的病例,分析比较42例患者行乳腺彩超、乳管镜及乳腺彩超联合乳管镜检查的阳性率。结果:42例乳管溢液早期乳腺癌中,乳腺彩超阳性率47.6%,乳管镜检查阳性率66.7%,联合检查阳性率92.9%;乳管镜检查阳性率高于乳腺彩超阳性率,但差异无统计学意义(χ2=2.227,P>0.05);乳管镜检查阳性率低于联合检查阳性率,差异有统计学意义(χ2=9.091,P<0.01)。结论:乳管镜联合乳腺彩超诊断乳头溢液早期乳腺癌更加准确可靠。
Objective: To investigate the clinical effect of breast tube mirror combined with breast color ultrasonography in diagnosing early breast cancer with nipple discharge. METHODS: From July 2010 to December 2014, 42 cases of breast cancer with nipple discharge in our hospital were analyzed and compared. Forty-two breast cancer patients underwent breast color ultrasonography, breast tube ultrasonography, and breast color ultrasonography combined with positive breast tube examination. rate. Results: Forty-two cases of early breast cancer with breast discharge, the color Doppler positive rate of breast was 47.6%, the positive rate of breast tube examination was 66.7%, and the positive rate of combined examination was 92.9%. The positive rate of breast tube examination was higher than that of breast color ultrasonography, but The difference was not statistically significant (χ2=2.227, P>0.05); the positive rate of breast tube examination was lower than that of the combined examination, and the difference was statistically significant (χ2=9.091, P<0.01). Conclusion: The diagnosis of early breast cancer with nipple discharge is more accurate and reliable than that of breast tube ultrasonography combined with breast color ultrasonography.