钼靶X线在乳腺增生病辨证分型中的价值

The Value of Molybdenum Target X-ray in the Syndrome Differentiation of Cyclomastopathy

目的探讨钼靶X线应用在乳腺增生病中医辨证分型中的价值。方法回顾性分析乳腺增生病患者100例,均经中医辨证分型,分别采用BI-RADS标准钼靶X线分型及现代影像学钼靶X线分型,总结不同中医证型的钼靶X线表现。结果 BIR ADS标准钼靶X线分型,冲任失调组主要为致密型与多量腺体型;痰瘀互结组主要为多量与少量腺体型;肝郁气滞组主要为多量腺体型。致密型的冲任失调组患者明显多于其他2组(P<0.05),多量腺体型的肝郁气滞组患者明显多于其他两组(P<0.05),少量腺体型的痰瘀互结组患者明显多于其他2组(P<0.05)。现代影像学结果,冲任失调组主要为肥厚型、大片型;痰瘀互结组主要为结节型;肝郁气滞组主要为小片型、结节型。结论乳腺增生病诊断中钼靶X线检查是重要的检查方法,为中医辨证分型提供诊断依据。

Objective To explore the value of molybdenum target X-ray in the syndrome differentiation of mammary gland. Methods100 cases of cyclomastopathy patients were retrospectively analyzed. The BI-RADS molybdenum target X-ray classification standard and modern line of molybdenum target X-radiographic classification were applied, and the different TCM syndrome types of molybdenum target X-ray manifestations were summarized. Results BI-RADS standard molybdenum target X-line classification, the impact of the disordered group is mainly compact and multi-volume adenoids. Phlegm-blood stasis is mainly composed of multiple and small amounts of adenocarcinoma. The liver qi stagnation group is mainly a multi-volume gland type. Dense type of blunt as a disorder group patients were significantly more than the other two groups（P〈0.05）, more quantity of gland body liver depression and qi stagnation group patients were significantly more than the other two groups（P〈0.05）, a small amount of gland body in patients with phlegm and blood stasis group was obviously more than the other two groups（P〈0.05）. The results of modern imaging are mainly of hypertrophy and large type. The main nodules are nodular type. The liver qi stagnation group is mainly small and nodular type. Conclusion Mammography is an important examination method for the diagnosis of cyclomastopathy, which provides the diagnostic basis for TCM syndrome differentiation.