疏肝散结汤联合安珂微创手术治疗非哺乳期乳腺炎肿块期的效果  

Clinical Observation on the Treatment of Non-puerperal Mastitis in Tumor Stage by Integrated Chinese and Western Medicine

作　　者：乔楠[1] 丁晓雯[1] 沈皓[1] 倪毓生[1] 方勇[1] QIAO Nan;DING Xiao-wen;SHEN Hao(Department of General Surgery,Nantong Hospital of Traditional Chinese Medicine,Jiangsu Nantong(226001),China)

机构地区：[1]南通市中医院普外科,江苏南通226001

出　　处：《中国中西医结合外科杂志》2020年第5期941-944,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：南通大学校级科研基金临床医学专项青年项目(2019LQ018);南通市科技局指导性项目(MSZ18254)。

摘　　要：目的:观察疏肝散结汤联合安珂微创手术治疗非哺乳期乳腺炎肿块期的临床疗效。方法:选取非哺乳期乳腺炎肿块期患者69例,按随机数字表法分为3组,A组25例,B组23例,C组21例,其中A组予疏肝散结汤、抗生素及安珂微创手术,B组予疏肝散结汤、抗生素及传统肿块切除手术,C组予抗生素及安珂微创手术,观察3组患者的总治愈时间、术后愈合时间、术后疼痛程度、瘢痕长度、乳房外观改变及复发率等情况。结果:A组总治愈时间、术后愈合时间、术后疼痛程度、瘢痕长度、乳房外观改变均优于B组,差异有统计学意义(P<0.05),两组的复发率无明显差异(P>0.05)。A组总治愈时间、复发率均优于C组,差异有统计学意义(P<0.05);A组术后愈合时间、术后疼痛程度、瘢痕长度、乳房外观改变评分与C组无明显差异(P>0.05)。结论:疏肝散结汤联合安珂微创手术治疗非哺乳期乳腺炎肿块期安全有效,且具有创伤小、恢复快、复发率低的优点,值得临床推广应用。Objective To observe the clinical effect of Shugan Sanjie decoction combined with Encor minimally invasive surgery in the treatment of non-puerperal mastitis in mass stage.Methods Selecting the non-puerperal mastitis in mass stage patients of 69 cases,we divided them into group A,group B and group C according to random number table method.25 cases in group A,23 cases in group B and 21 cases in group C.Group A was treated with Shugan Sanjie decoction,antibiotics and Encor minimally invasive surgery.Group B was treated with Shugan Sanjie decoction,antibiotics and traditional excision surgery.Group C was treated with antibiotics and Encor minimally invasive surgery.Patients were observed with total healing time,healing time after operation,pain degree after operation,scar length,appearance change of breast and the recurrence rate.Results Group A was superior to group B in terms of total healing time,healing time after operation,pain degree after operation,scar length,appearance change of breast,which with significant differences(P<0.05).But there were no significant differences in recurrence rate(P>0.05).The total healing time and recurrence rate of group A were better than that of group C,which with significant differences(P<0.05).There were no significant differences in healing time after operation,pain degree after operation,scar length,appearance change of breast between group A and group C(P>0.05).Conclusion Shugan Sanjie decoction combined with Encor minimally invasive surgery in the treatment of non-puerperal mastitis is safe and effective.It has the advantages of less trauma,faster recovery,and lower recurrence rate,which is worthy of promotion.

关 键 词：非哺乳期乳腺炎 疏肝散结汤 安珂微创手术 中西医结合 临床疗效 

分 类 号：R655.8[医药卫生—外科学]