The application value of ultrasonic classification of plasma cell mastitis in diagnosis and treatment of traditional Chinese medicine

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The application value of ultrasonic classification of plasma cell mastitis in diagnosis and treatment of traditional Chinese medicine

更新时间：2023-10-09

- The application value of ultrasonic classification of plasma cell mastitis in diagnosis and treatment of traditional Chinese medicine
- Journal of Clinical Ultrasound in Medicine Vol. 23, Issue 10, (2021)
- 作者机构：
  
  1. 重庆市中医院
  2. 重庆市江津区中医院
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2021，
  
  Published Online：29 October 2021，
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The application value of ultrasonic classification of plasma cell mastitis in diagnosis and treatment of traditional Chinese medicine. [J]. Journal of Clinical Ultrasound in Medicine 23(10).(2021)
DOI：

The application value of ultrasonic classification of plasma cell mastitis in diagnosis and treatment of traditional Chinese medicine. [J]. Journal of Clinical Ultrasound in Medicine 23(10).(2021) DOI：

摘要

目的探讨超声分型在浆细胞性乳腺炎中医诊疗中的应用价值。方法选取我院浆细胞性乳腺炎患者200例，随机分为观察组和对照组，每组各100例。根据超声表现分为导管扩张型、囊肿型、实性肿块型、脓肿型、窦道瘘管型5种类型，观察组根据不同超声类型予以差异化中医治疗，对照组参考目前临床治愈率高的论治方案予以相应中医治疗。治疗4周后比较两组患者治疗有效率及超声检查指标的变化情况，随访两组患者的复发率。结果观察组和对照组导管扩张型、囊肿型患者治疗后病灶均消失，治疗有效率均为100%。观察组和对照组窦道瘘管型病灶均较治疗前减少，治疗有效率为56.10%、38.64%，两组比较差异无统计学意义。观察组与对照组实性肿块型、脓肿型治疗后病灶不同程度缩小，观察组治疗有效率分别为91.30%、86.67%，对照组治疗有效率分别为73.33%、48.28%，两组治疗有效率比较，差异均有统计学意义（均P＜0.05）。观察组治疗总有效率81.82%，对照组治疗总有效率62.50%，两组比较差异有统计学意义（P＜0.05）。观察组复发率12%，对照组复发率18%，两组比较差异无统计学意义。结论浆细胞性乳腺炎超声分型在中医诊疗中具有重要价值。

Abstract

Objective To explore the application value of ultrasonic classification of plasma cell mastitis （PCM）in diagnosis and treatment of traditional Chinese medicine （TCM）.Methods A total of 200 PCM patients in our hospital were selected and randomly divided into observation group and control group，with 100 cases in each group.According to ultrasound images，200 PCM patients were divided into five types：catheter dilation type，cyst type，solid mass type，abscess type and sinus fistula type.The observation group received differentiated TCM treatment based on different ultrasound types，and the control group received corresponding TCM treatment refer to the current clinical treatment plan with high cure rate.After four weeks of treatment，the effective rate of treatment and changes in ultrasound examination indexes were compared between the two groups，and followed up the recurrence rate of the two groups of patients.Results The lesions of catheter dilatation type and cyst type in the two groups disappeared after treatment，and the treatment efficiency was 100%.The lesions of sinus fistula type in both groups were less than before treatment，the effective rates of treatment group and control group were 56.10% and 38.64%，and there was no statistically significant difference between the two groups.The lesions of solid mass type and abscess type were reduced to varying degrees after the treatment.The effective rates of treatment in the observation group were 91.30% and 86.67%，while those in the control group were 73.33% and 48.28%.There was a statistically significant difference in the effective rates between the two groups ( P＜0.05).The total effective rates of the observation group and the control group were 81.82% and 62.50%.The observation group's curative effect was better than that of the control group，and the difference was statistically significant（P＜0.05）.The recurrence rate of the observation group was 12%，and the recurrence rate of the control group was 18%.There was no statistically significant difference between the two groups.Conclusion Ultrasound classification of PCM has important value in the diagnosis and treatment of Chinese medicine.

关键词

超声检查浆细胞性乳腺炎分型中医治疗

Keywords

UltrasonographyPlasma cell mastitisclassificationTraditional Chinese medicineTreatment

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