高频超声诊断乳腺增生类型与中医证型相关性分析

Correlation Analysis between High Frequency Ultrasound Diagnosis of Breast Hyperplasia Type and Chinese Medicine Syndromes

目的:分析高频超声诊断乳腺增生类型与中医证型的相关性。方法:对乳腺增生症749例患者,均在入院后治疗前接受高频超声扫查,并接受穿刺活检或手术术后病理学明确诊断,同时在中医辨证理论支持下对其进行辨证分型,分析乳腺增生类型与中医证型的关系。结果:749例乳腺增生患者中,肝郁气滞证405例(54.07%)、痰瘀互结证136例(18.16%)、冲任失调证208例(27.77%)。两两比较肝郁气滞证、痰瘀互结证及冲任失调证患者年龄及病程,月经异常发生率、生育史、人工流产率、孕次等临床资料,差异均有统计学意义(P <0.05)。乳腺增生肝郁气滞证中以单纯小叶增生比例最高(73.33%),痰瘀互结证以囊性小叶所占比例最高55.88%,而冲任失调证则多见腺性小叶增生(53.85%)。两两比较不同中医证型分组不同乳腺增生类型的比例、增生病灶邻近区域血流信号检出情况,差异均有统计学意义(P <0.05)。结论:高频超声在乳腺增生诊断过程中能够获得良好的临床价值,乳腺增生肝郁气滞证以单纯小叶增生最常见,乳腺增生中医证型中以肝郁气滞证最常见;经高频超声了解乳腺增生类型,并在中医辨证理论支持下对患者进行辨证分型,有助于为制定科学合理的诊疗计划提供依据。

Objective:To analyse the the correlation between high frequency ultrasound diagnosis of breast hyperplasia type and Chinese medicine syndromes.%Methods:after admission,Examined 749 cases of patients with breast hyperplasia by high frequency ultrasound before treatment,and diagnosed them by biopsy or postoperative pathology to make a clear diagnosis.At the same time,they were classified under the support of Chinese medicine syndrome differentiation theory and analyzed the relationship between the type of breast hyperplasia and Chinese medicine syndromes.Results:Among 749 cases of patients with breast hyperplasias,405 cases(54.07%)showed liver depression and qi stagnation syndrome,136 cases(18.16%)showed intermingled phlegm and blood stasis syndrome,and 208 cases(27.77%)had Chongren dysfunction syndrome.There was significant difference being found in multiple comparison of the clinical data such as age,course of disease,menstrual abnormality rate,reproductive history,induced abortion rate,pregnancy times with liver depression and qi stagnation syndrome,intermingled phlegm and blood stasis syndrome and Chongren dysfunction syndrome(P<0.05).In the breast hyperplasia with liver depression and qi stagnation syndrome,the proportion of simple lobular hyperplasia(73.33%)was the highest;in the intermingled phlegm and blood stasis syndrome,the cystic lobule of 55.88%was the highest,and in the Chongren dysfunction syndrome,the lobular hyperplasia(53.85%)was more common.There were significant differences being found in multiple comparison of the proportions of different types of breast hyperplasia and the detection of blood flow signals in the vicinity of hyperplastic lesions in different Chinese medicine syndrome types(P<0.05).Conclusion:High frequency ultrasound can obtain good clinical value in the diagnosis of breast hyperplasias.Lobular hyperplasia is the most common type in breast hyperplasias with liver depression and qi satagnation syndrome,and the liver depression and qi stagnation syndrome is the most common type of breast hyperplasias in Chinese medicine syndrome types.The application of high-frequency ultrasound for understanding the types of breast hyperplasias and the syndrome differentiation of patients under the support of Chinese medicine syndrome differentiation theory helps to provide a better clinical basis for the development of scientific and rational diagnosis and treatment plans.