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目的评价经乳管镜置定位针在乳管内乳头状瘤手术中的临床应用价值。方法对116例乳头溢液患者进行乳管镜检查,发现33例乳管内乳头状瘤,其中12例经乳管确定病灶的方向、深度及体表标记,镜下放置定位针,根据定位引导进行手术。结果12例患者均顺利找到肿瘤,术后经病理证实。结论乳管镜下定位标记结合定位针有助于精确定位乳管内占位性病变位置,减小周围组织损伤。
Objective To evaluate the clinical value of locating the needle through the duodenoscope in the operation of intraductal papilloma. Methods One hundred and sixteen patients with nipple discharge were examined by ductoscopy. Totally 33 cases of intraductal papillomas were found, of which 12 were confirmed by ducts to determine the direction, depth and surface markers of the lesion. The locating needles were placed under the microscope and guided according to the orientation surgery. Results All 12 patients successfully found the tumor and confirmed by pathology after operation. Conclusion The combination of laparoscopic location mark and positioning needle can help to accurately locate the space-occupying lesion in the duct and reduce the surrounding tissue damage.