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目的:探讨乳腺导管内乳头状瘤乳晕旁弧形切口和劈开半乳头放射状切口2种手术方法的优缺点。方法:回顾性分析应用乳腺纤维导管镜下行美兰定位后,经手术和病理证实的乳腺导管内乳头状瘤83例的临床资料。其中48例采用乳晕旁弧形切口,35例采用劈开半乳头放射状切口。结果:乳腺纤维导管镜确定病变象限应用美兰染色后行乳腺区段切除,根据实际情况选用乳晕旁弧形切口和劈开半乳头放射状切口2种切口均能安全、准确切除病灶,效果良好,经6个月至2年的随访,无复发病例,切口美观。结论:乳腺纤维导管镜结合美兰染色定位手术切除病灶是治疗乳腺导管内乳头状瘤的有效方法。2种切口均适宜,各有优缺点。
Objective: To investigate the advantages and disadvantages of two kinds of surgical methods for breast ductal breast papilloma radiofrequency incision and split hemimpapillary incision. Methods: The clinical data of 83 cases of intraductal papilloma confirmed by surgery and pathology were retrospectively analyzed. Among them, 48 cases were treated with areolar arc incision and 35 cases were radiologically incised with split hemiplasty. Results: Mammary gland ductoscopy confirmed the lesion quadrant resection of the breast section by Melanie staining, according to the actual situation of the alternative areola arcuate incision and split the nipple radial incision 2 incision can be safe and accurate removal of the lesion with good results, After 6 months to 2 years of follow-up, no recurrence, incision beautiful. Conclusion: Breast ductoscopy combined with methylene blue staining for resection of the lesion is an effective method for the treatment of intraductal papilloma. 2 kinds of incision are appropriate, each have their own advantages and disadvantages.