Department of Breast Surgery, China Japan Union Hospital of Jilin University, Changchun, China.
Oncol Res Treat. 2014;37(4):204-8. doi: 10.1159/000360784. Epub 2014 Mar 14.
The aim of this study was to evaluate patient characteristics and findings after mammary ductoscopy in an effort to reduce the pain experienced during the procedure.
We evaluated outpatients in whom mammary ductoscopy was performed under local or intraductal anesthesia without preference, and their clinical characteristics and findings were recorded. Average and maximum pain scores were determined after the examination for statistical analysis.
The overall average pain score was 3.74 ± 1.353, and the maximum pain score was 6.40 ± 1.681. The type of anesthesia, total operation time, nipple retraction, and discharge status significantly correlated with the pain score. Intraductal anesthesia lowered the average pain score by 0.60, whereas a total procedure time greater than 12 min increased the average pain score by 0.956. The pain score decreased if patients had nipple retraction, and intraductal anesthesia proved suitable for patients with normal nipples.
Intraductal anesthesia is suitable for most patients, and ductoscopy should not exceed 12 min to minimize the pain. Nipple retraction does not significantly increase pain, but local anesthesia should be used in patients with retracted nipples. Patient age, breastfeeding history, menstrual stage, and presence of intraductal tumors were not associated with the level of pain experienced.
本研究旨在评估乳管镜检查后的患者特征和发现，以期减轻检查过程中的疼痛。
我们评估了在局部或经导管麻醉下进行乳管镜检查的门诊患者，记录了他们的临床特征和发现。为了进行统计分析，检查后确定了平均和最大疼痛评分。
总体平均疼痛评分为 3.74 ± 1.353，最大疼痛评分为 6.40 ± 1.681。麻醉类型、总手术时间、乳头回缩和分泌物状态与疼痛评分显著相关。经导管麻醉可使平均疼痛评分降低 0.60，而总手术时间超过 12 分钟则使平均疼痛评分增加 0.956。如果患者有乳头回缩，疼痛评分会降低，并且经导管麻醉适用于乳头正常的患者。
经导管麻醉适用于大多数患者，为了最大程度地减轻疼痛，乳管镜检查不应超过 12 分钟。乳头回缩不会显著增加疼痛，但对于回缩的乳头应使用局部麻醉。患者年龄、哺乳史、月经周期和导管内肿瘤的存在与疼痛程度无关。
