浆细胞性乳腺炎超声分型在中医诊疗中的应用价值

Application value of ultrasound classification of plasma cell mastitis in the diagnosis and treatment of traditional chinese medicine

目的探讨浆细胞性乳腺炎超声分型在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。所有患者根据超声表现分为导管扩张型、囊肿型、实性肿块型、脓肿型及窦道瘘管型,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%;两组窦道瘘管型病灶均较治疗前减少,治疗有效率分别为56.10%、38.64%,差异无统计学意义;两组实性肿块型、脓肿型治疗后病灶均不同程度缩小,其中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%,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12.00%,对照组复发率18.00%,两组比较差异无统计学意义。结论浆细胞性乳腺炎的超声分型在中医诊疗中具有重要价值。

Objective To explore the application value of ultrasound classification of plasma cell mastitis(PCM)in the 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 ultrasonic findings,the patients were divided into 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 clinical cure rate.After 4 weeks of treatment,the effective rate of treatment and changes of ultrasound examination indexes were compared between the two groups,and the recurrence rate of the two groups was followed up.Results In the observation group and the control group,the lesions of catheter dilatation type and cyst type were disappeared after treatment,and the treatment efficiency were both 100%.The lesions of sinus fistula type in both groups were reduced compared with those before treatment,the effective rates of treatment group and control group were 56.10%and 38.64%,there were no statistically significant difference.The lesions of solid mass type and abscess type were reduced to varying degrees after the treatment,the effective rates of observation group were 91.30%and 86.67%,while those in the control group were 73.33%and 48.28%,the difference were statistically significant(all P<0.05).The total effective rates of the observation group and the control group were 81.82%and 62.50%,the difference was statistically significant(P<0.05).The recurrence rate of the observation group and the control group were 12.00%and 18.00%,respectively,there was no significant difference.Conclusion The ultrasound classification of PCM has important value in the diagnosis and treatment of TCM.