• 重慶醫(yī)科大學(xué)附屬第一醫(yī)院普外科（重慶400016）;

目的介紹纖維乳管鏡在乳腺疾病的臨床應(yīng)用現(xiàn)狀、價值及發(fā)展前景。 方法綜述纖維乳管鏡在乳腺疾病臨床應(yīng)用的研究進(jìn)展。 結(jié)果纖維乳管鏡在乳腺疾病尤其是伴乳頭溢液者應(yīng)用廣泛，已顯示出較乳管造影等常規(guī)檢查方法更高的診斷準(zhǔn)確率，且可同時行乳管沖洗和鏡下定位、活檢、治療。結(jié)論纖維乳管鏡具有較高的診斷和治療價值，是一種很好的內(nèi)鏡技術(shù)，相信能被更好地應(yīng)用和發(fā)展。

引用本文： 杜果城,吳誠義. 纖維乳管鏡臨床應(yīng)用新進(jìn)展. 中國普外基礎(chǔ)與臨床雜志, 2004, 11(3): 216-218. doi: 復(fù)制

1. Leis HP Jr, Greene FL, Cammarata A, et al. Nipple discharge： surgical significance [J]. South Med J, 1998; 81(1)∶20.
2. Okazaki A, Okazaki M, Asaishi K, et al. Fiberoptic ductoscopy of the breast: a new diagnostic procedure for nipple discharge [J]. Jpn J Clin Oncol, 1991; 21(3)∶188.
3. Shen KW, Wu J, Lu JS, et al. Fiberoptic ductoscopy for patients with nipple discharge [J]. Cancer, 2000; 89(7)∶1512.
4. Shen KW, Wu J,Lu JS, et al. Fiberoptic ductoscopy for breast cancer patients with nipple discharge [J]. Surg Endosc, 2001; 15(11)∶1340.
5. Makita M, Sakamoto G, Akiyama F, et al. Duct endoscopy and endoscopic biopsy in the evaluation of nipple discharge [J]. Breast Cancer Res Treat, 1991; 18(3)∶179.
6. Gulay H, Bora S, Kilicturgay S, et al. Management of nipple discharge [J]. J Am Coll Surg, 1994; 178(5)∶471.
7. Okazaki A, Okazaki M, Hirata K, et al. Progress of ductoscopy of the breast [J]. Nippon Geka Gakkai Zasshi, 1996; 97(5)∶357.
8. Yamamoto D, Shoji T, Kawanishi H, et al. A utility of ductography and fiberoptic ductoscopy for patients with nipple discharge [J]. Breast Cancer Res Treat, 2001; 70(2)∶103.
9. 時田益次郎， 難波清， 青山英子， 他. 異常乳頭分泌癥例における乳管內(nèi)視鏡の意義 [J]. 乳腺癌の臨床， 1995； 10（2）∶399.
10. 吳誠義， 姚榛祥， 吳凱南， 等. 乳腺導(dǎo)管擴張癥的臨床特點和治療 [J]. 臨床外科雜志， 1994； 2（3）∶145.
11. 袁永熙， 沈玉琨， 陸昌宜， 等. 乳管內(nèi)窺鏡在乳頭溢液中的臨床應(yīng)用200例 [J]. 中華普通外科雜志， 2001； 16（5）∶283.
12. 李潞安， 郭炳麟. 無乳頭溢液乳房疾病的乳管鏡診斷 [J]. 中國普通外科雜志， 2002； 11（6）∶331.
13. Dooley WC. Routine operative breast endoscopy during lumpectomy [J]. Ann Surg Oncol, 2003; 10(1)∶38.
14. Simmons R, Adamovich T, Brennan M, et al. Nonsurgical evaluation of pathologic nipple discharge [J]. Ann Surg Oncol, 2003; 10(2)∶113.
15. Love SM, Barsky SH. Breastduct endoscopy to study stages of cancerous breast disease [J]. Lancet, 1996; 348(9033)∶997.
16. Lawler MJ,Newton A, Levin E, et al. Cytologic evaluation of duct washings does not reliably detect lactiferous duct pathology [J]. Breast Cancer Res Treat, 2001; 69(3)∶297.
17. Yamamoto D, Senzaki H, Nakagawa H, et al. Detection of chromosomal aneusomy by fluorescence in situ hybridization for patients with nipple discharge [J]. Cancer, 2003; 97(3)∶690.
18. DominguezCunchillos F, Armendariz P, PerezCabanas I, et al. Endoscopic technique for the localization of intraduct papillomas [J]. Br J Surg, 1999; 86(11)∶1470.
19. 蔣宏傳， 王克有， 李杰， 等. 乳管鏡下乳管內(nèi)病變的診斷及定位技術(shù) [J]. 腫瘤學(xué)雜志， 2002； 8（6）∶326.
20. 岡崎亮， 岡崎稔， 石和昭， 他.乳管內(nèi)良性腫瘤に對する乳管內(nèi)視鏡下的Laser治療 [J]. 治療， 1994； 76（1）∶187.
21. 鄒強， 郭榆江， 顧斐， 等. 纖維乳管鏡的臨床應(yīng)用 [J]. 中國醫(yī)學(xué)影像技術(shù)， 2000； 16（1）∶50.
22. Ohtake T, Kimijima I, Fukushima T, et al. Computerassisted complete threedimensional reconstruction of the mammary ductal/lobular systems: implications of ductal anastomoses for breastconserving surgery [J]. Cancer, 2001; 91(12)∶2263.
23. Badve S, Wiley E, Rodriguez N. Assessment of utility of ductal lavage and ductoscopy in breast cancera retrospective analysis of mastectomy specimens [J]. Mod Pathol, 2003; 16(3)∶206.
  1. 1. Leis HP Jr, Greene FL, Cammarata A, et al. Nipple discharge： surgical significance [J]. South Med J, 1998; 81(1)∶20.
  2. 2. Okazaki A, Okazaki M, Asaishi K, et al. Fiberoptic ductoscopy of the breast: a new diagnostic procedure for nipple discharge [J]. Jpn J Clin Oncol, 1991; 21(3)∶188.
  3. 3. Shen KW, Wu J, Lu JS, et al. Fiberoptic ductoscopy for patients with nipple discharge [J]. Cancer, 2000; 89(7)∶1512.
  4. 4. Shen KW, Wu J,Lu JS, et al. Fiberoptic ductoscopy for breast cancer patients with nipple discharge [J]. Surg Endosc, 2001; 15(11)∶1340.
  5. 5. Makita M, Sakamoto G, Akiyama F, et al. Duct endoscopy and endoscopic biopsy in the evaluation of nipple discharge [J]. Breast Cancer Res Treat, 1991; 18(3)∶179.
  6. 6. Gulay H, Bora S, Kilicturgay S, et al. Management of nipple discharge [J]. J Am Coll Surg, 1994; 178(5)∶471.
  7. 7. Okazaki A, Okazaki M, Hirata K, et al. Progress of ductoscopy of the breast [J]. Nippon Geka Gakkai Zasshi, 1996; 97(5)∶357.
  8. 8. Yamamoto D, Shoji T, Kawanishi H, et al. A utility of ductography and fiberoptic ductoscopy for patients with nipple discharge [J]. Breast Cancer Res Treat, 2001; 70(2)∶103.
  9. 9. 時田益次郎， 難波清， 青山英子， 他. 異常乳頭分泌癥例における乳管內(nèi)視鏡の意義 [J]. 乳腺癌の臨床， 1995； 10（2）∶399.
  10. 10. 吳誠義， 姚榛祥， 吳凱南， 等. 乳腺導(dǎo)管擴張癥的臨床特點和治療 [J]. 臨床外科雜志， 1994； 2（3）∶145.
  11. 11. 袁永熙， 沈玉琨， 陸昌宜， 等. 乳管內(nèi)窺鏡在乳頭溢液中的臨床應(yīng)用200例 [J]. 中華普通外科雜志， 2001； 16（5）∶283.
  12. 12. 李潞安， 郭炳麟. 無乳頭溢液乳房疾病的乳管鏡診斷 [J]. 中國普通外科雜志， 2002； 11（6）∶331.
  13. 13. Dooley WC. Routine operative breast endoscopy during lumpectomy [J]. Ann Surg Oncol, 2003; 10(1)∶38.
  14. 14. Simmons R, Adamovich T, Brennan M, et al. Nonsurgical evaluation of pathologic nipple discharge [J]. Ann Surg Oncol, 2003; 10(2)∶113.
  15. 15. Love SM, Barsky SH. Breastduct endoscopy to study stages of cancerous breast disease [J]. Lancet, 1996; 348(9033)∶997.
  16. 16. Lawler MJ,Newton A, Levin E, et al. Cytologic evaluation of duct washings does not reliably detect lactiferous duct pathology [J]. Breast Cancer Res Treat, 2001; 69(3)∶297.
  17. 17. Yamamoto D, Senzaki H, Nakagawa H, et al. Detection of chromosomal aneusomy by fluorescence in situ hybridization for patients with nipple discharge [J]. Cancer, 2003; 97(3)∶690.
  18. 18. DominguezCunchillos F, Armendariz P, PerezCabanas I, et al. Endoscopic technique for the localization of intraduct papillomas [J]. Br J Surg, 1999; 86(11)∶1470.
  19. 19. 蔣宏傳， 王克有， 李杰， 等. 乳管鏡下乳管內(nèi)病變的診斷及定位技術(shù) [J]. 腫瘤學(xué)雜志， 2002； 8（6）∶326.
  20. 20. 岡崎亮， 岡崎稔， 石和昭， 他.乳管內(nèi)良性腫瘤に對する乳管內(nèi)視鏡下的Laser治療 [J]. 治療， 1994； 76（1）∶187.
  21. 21. 鄒強， 郭榆江， 顧斐， 等. 纖維乳管鏡的臨床應(yīng)用 [J]. 中國醫(yī)學(xué)影像技術(shù)， 2000； 16（1）∶50.
  22. 22. Ohtake T, Kimijima I, Fukushima T, et al. Computerassisted complete threedimensional reconstruction of the mammary ductal/lobular systems: implications of ductal anastomoses for breastconserving surgery [J]. Cancer, 2001; 91(12)∶2263.
  23. 23. Badve S, Wiley E, Rodriguez N. Assessment of utility of ductal lavage and ductoscopy in breast cancera retrospective analysis of mastectomy specimens [J]. Mod Pathol, 2003; 16(3)∶206.