中西医结合治疗不同临床分型浆细胞性乳腺炎效果分析  

Analysis of the Effect of Combining Chinese and Western Medicine in the Treatment of Mammary Duct Ectasia with Different Clinical Strains

作　　者：赵自垒 钟晓 贾彩铃 司丛敏 Zhao Zi-lei;Zhong Xiao;Jia Cai-ling;Si Cong-min(Luohu District People's Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]罗湖区人民医院,广东深圳518000

出　　处：《中外医药研究》2022年第11期84-86,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析超声引导下小切口窦道清创术联合祛腐生肌散治疗不同临床分型浆细胞性乳腺炎(PCM)的临床效果。方法:选取2021年3月-2022年3月罗湖区人民医院收治PCM女性患者121例为观察对象,均经术后病理学检查确诊为PCM。根据临床表现分为肿块型急性炎症期31例,肿块型慢性炎症期40例,脓肿型36例,瘘管型14例。PCM患者均行超声引导下小切口窦道清创术,术后行祛腐生肌散中药药线引流治疗。比较不同分型患者治愈率及复发率、并发症发生率、临床症状缓解时间。结果:肿块型急性炎症期PCM治愈率为96.97%,复发率3.03%;肿块型慢性炎症期PCM治愈率为95.00%,复发率为5.00%;脓肿型及瘘管型PCM患者治愈率为100.00%,复发率为0;不同分型PCM患者治愈率与复发率比较,差异无统计学意义(P>0.05);不同分型患者并发症发生率比较,差异无统计学意义(P>0.05);不同分型患者临床症状缓解时间比较,差异无统计学意义(P>0.05)。结论:PCM肿块型急性炎症期及肿块慢性炎症期宜予以药物控制局部炎性反应,随后进行对应的干预手段,帮助患者早日恢复健康。Objective:To analyze the clinical effect of ultrasound-guided small-incision sinus debridement combined with expulsion of putrefactive muscle mass for the treatment of different clinical strains of mammary duct ectasia(PCM).Methods:From March 2021 to March 2022,121 female patients with PCM admitted to Luohu District People's Hospital were selected as observation subjects,all of whom were diagnosed with PCM by postoperative pathological examination.31 cases of mass-type acute inflammatory stage,40 cases of mass-type chronic inflammatory stage,36 cases of abscess type,and 14 cases of fistula type according to clinical manifestations.All patients with PCM underwent ultrasound-guided small-incision sinus debridement and postoperative treatment with herbal medicated line drainage to remove decay and create muscle.The cure rate,recurrence rate,complication rate,and time to relief of clinical symptoms were compared among the patients with different types.Results:The cure rate of PCM in the acute inflammatory stage of mass type was 96.97%,and the recurrence rate was 3.03%.The cure rate of PCM in the chronic inflammatory phase of the mass type was 95.00%,and the recurrence rate was 5.00%.The cure rate of patients with abscess type and fistula type PCM was 100.00%and the recurrence rate was 0.There was no statistically significant difference between the cure rate and recurrence rate of patients with different fractions of PCM(P>0.05).There was no statistically significant difference in the incidence of complications in patients with different staging(P>0.05).There was no statistically significant difference in the time to remission of clinical symptoms among patients with different fractions(P>0.05).Conclusion:The acute inflammatory phase of PCM mass type and the chronic inflammatory phase of the mass are appropriate to control the local inflammatory response with medication,followed by corresponding interventions to help patients recover health as soon as possible.

关 键 词：浆细胞性乳腺炎 祛腐生肌散 超声引导下小切口窦道清创术 

分 类 号：R73[医药卫生—肿瘤]