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            <td height="30" colspan="2" class="main_ArticleTitle" style="word-break:break-all;Width:fixed">准确检查乳腺导管扩张症的方法</td>
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            <td colspan="2" bgcolor="FFE3F3"> 更新时间:2008-6-18 20:33:53  【字体:<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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                        <p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp; 乳腺导管扩张症又叫浆细胞性乳房炎,其基本病变是由于乳腺导管不畅,而引起导管扩张的一系列病理改变,是一种良。此病多见于30—40岁的经产而非哺乳期的妇女,也偶见于绝经后的老年妇女。</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 有资料表明,乳腺导管扩张症的误诊率达75%。之所以易误诊,主要原因在于:</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 该病发病大致可分三期:急性期表现为乳房肿胀、疼痛、发红和硬结,可有乳头溢液,这时最易与急性乳腺炎混淆,有的被误诊为炎性乳癌;亚急性期乳房红肿消退,遗留下硬结或肿块;慢性期乳房内肿块可与表面皮肤粘连,肿块不痛,可出现乳头回缩,此型最易被误诊为乳癌。</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 病程长短不一,从数日到数年,病程长者更易误诊。</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 乳头溢液可为本病的首发症状,液体多为血性,也可为浆液性或脓性,也是误诊的原因。早期常伴有腑下淋巴结肿大、质硬、有压痛,也给鉴别带来困难。</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 近年来用于乳房检查的红外线扫描、超声检查和选择性乳腺导管造影等检查,对乳房疾病的诊断和鉴别诊断很有帮助,不仅可以证实乳腺导管扩张,还能查出导管内有无其他占位病变。此外,细胞学检查对诊断此病也有重要作用。包括乳头溢液的反复检查和细针抽吸肿块组织的细胞学检查,该症都查不到癌细胞,而是以浆细胞为主的炎症细胞,可与癌鉴别。</font></p>
<p><font face="Arial" color="#000000">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 乳腺导管扩张症是乳腺的良变,所以,一旦确诊,应当做手术治疗,手术是治疗本病的惟一有效方法,手术时只需将乳晕部扩张的导管肿块切除就可以,乳头和大部乳房可保留,不影响外形和美观。如果肿块较大,占整个乳房的一半以上,而且年龄在45岁以上,乳房较小者,在病人本人的同意下,也可做单纯乳房切除。 <br />
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作&nbsp;&nbsp;&nbsp;&nbsp;者:admin
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