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目的探讨乳管内乳头状瘤的外科治疗的方法及效果。方法随机抽取我院2008年2月至2009年2月收治的乳管内乳头状瘤43例的临床资料进行分析总结,全部采用手术切除肿瘤。结果 43例肿瘤完全切除,术中快速病理检查及术后常规病理检查41例证实为乳管内乳头状瘤,术后乳头溢液停止,康复出院。另外2例恶性病变者行乳腺癌改良根治术,随诊6个月至2年半,术后乳房未明显改变,未发生切口感染。结论手术切除是治疗乳管内乳头状瘤的有效方法,亚甲蓝造影可以精确定位手术区段。
Objective To investigate the method and effect of surgical treatment of intraductal papilloma. Methods The clinical data of 43 cases of intraductal papilloma admitted in our hospital from February 2008 to February 2009 were analyzed and summarized. All the tumors were removed by surgery. Results 43 cases of complete tumor resection, intraoperative rapid pathological examination and postoperative routine pathological examination of 41 cases confirmed as intraductal papilloma, nipple discharge after surgery, rehabilitation discharged. Another two cases of malignant lesions underwent modified radical mastectomy, followed up 6 months to 2 years and a half, no significant change in postoperative breast, incision infection did not occur. Conclusion Surgical resection is an effective method for the treatment of intraductal papilloma, and methylene blue imaging can accurately locate the operative segment.