乳腺增生症不同中医辨证分型的钼靶及MRI影像学观察  

Mammography and mri observation on hyperplasia of mammary gland of different tcm syndromes

作　　者：王振强[1,2] 王增贤[1] 李雪云[2] 闫呈新[3] 杨涛[2] 

机构地区：[1]泰山医学院,山东泰安271016 [2]泰山医学院附属莱钢医院,山东莱芜271126 [3]泰山医学院附属医院,山东泰安271000

出　　处：《泰山医学院学报》2013年第8期569-571,共3页Journal of Taishan Medical College

摘　　要：目的通过对乳腺增生症的钼靶X线和MRI影像资料进行临床观察,探讨乳腺增生症影像学表现与乳腺增生症各证型的关系,为乳腺增生症中医辨证提供影像学资料依据。方法通过中医辨证分型选取女性乳腺增生症患者200例,观察患者乳腺增生症各证型的钼靶和MRI影像表现。结果钼靶X线显示:脂肪型患者以冲任失调型所占的比例最多;少量腺体型患者以冲任失调型和痰瘀互结型居多;多量腺体型和致密型患者以肝郁气滞型和痰瘀互结型居多,冲任失调型次之。MRI显示:局限致密区、条索状强化患者以冲任失调型和肝郁气滞型居多,痰瘀互结型次之;少量腺体型,斑点状,片状强化患者以冲任失调型和痰瘀互结型居多,肝郁气滞型次之;团片状,点状强化患者和多发结节患者以肝郁气滞型和痰瘀互结型居多,冲任失调型次之。结论①乳腺增生症各证型在钼靶及MRI影像学有各自的特征性表现;②钼靶及MRI影像学资料可为乳腺增生症中医证候的辨证提供影像学依据,并可为中医的辨证施治提供客观依据。Objective： To observe different traditional Chinese medicine （TCM） Syndromes of the hyperplasia mammary gland （HMG） and the characteristics in their images taken by mammography and MRI, and to analyze the relationship between the TCM Syndromes of HMG and their imaging characteristics, and to provid imaging data for the TCM syndrome . Methods： Two hundreds women with the hyperplasia of mammary gland classified into three TCM Syndromes to observe the features were analyzed by the mammography and MRI in three TCM Syndromes the hyperplasia of mammary gland. Results ：Most fat type patients belonged to CHT type; the patients with a small amount of glandular belonged to CHT and Intermingled Phlegm and Blood Stasis Type（IPBT） ; the patients with a multitude of glands belonged to SLQT and IPBT type; MRI demonstrated that regional compact or cord-like enhancement image were seen mostly in the CHT and SLQT type, and then the intermin-gled phlegm and blood stasis. The spots and sheets enhancement image was present mainly in CHT and IPBT type, and then in the SLQT type. The patchy, spot and multiple nodules image exhibited mainly in SLQT and IPBT type, then the CHT type. Conclusion：①The Mammagraphy and MRI image of different TCM type of HMG showed their respecfive characteristics. ②The data of Mammography and MRI can provide the basis for syndrome differentiation and for dialectical therapy of TCM.

关 键 词：乳腺增生症 中医辨证 钼靶 MRI 

分 类 号：R271.44[医药卫生—中医妇科学]