副乳腺浆细胞性乳腺炎中医药临床诊治分析  

Clinical Diagnosis and Treatment of Accessory Breast Plasma Cell Mastitis with Traditional Chinese Medicine

作　　者：曾奕斐 张董晓[2] 东浩[2] 付娜[2] 张红凯 冯硕[4] ZENG Yifei;ZHANG Dongxiao;DONG Hao;FU Na;ZHANG Hongkai;FENG Shuo(Beijing University of Chinese Medicine,Beijing 100020,China;Department of Galactophore,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Department of Pathology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Guang'anmen Hospital Southern District,China Academy of Chinese Medical Science,Beijing 102618,China)

机构地区：[1]北京中医药大学,北京市100020 [2]首都医科大学附属北京中医医院乳腺科,北京市100010 [3]首都医科大学附属北京中医医院病理科,北京市100010 [4]中国中医科学院广安门医院南区,北京市102618

出　　处：《中国全科医学》2024年第15期1893-1898,共6页Chinese General Practice

基　　金：北京市科委首都临床诊疗技术研究及转化应用(Z211100002921020);北京市医院管理中心培育计划(PZ2021011);北京市中医管理局规划项目(JJ-2020-64);首都医科大学2022年教育教学改革研究课题(2022JYY303)。

摘　　要：背景副乳腺浆细胞性乳腺炎(PCM)在临床上较为罕见,相关报道较少,临床多易发生误诊、漏诊,为其早期诊治带来极大挑战。目的探讨副乳腺PCM的临床特点、诊断方法及中医药治疗的临床疗效。方法回顾性分析首都医科大学附属北京中医医院2017年1月—2021年12月收治的15例副乳腺PCM患者的中医药临床诊疗资料,对15例副乳腺PCM患者的一般资料、诊断方法、治疗方法及结果进行归纳总结。结果本文共纳入15例女性副乳腺PCM患者,均为育龄期妇女,妊娠后2~5年内发病,病因复杂,病程迁延,发病特点与乳腺部位的PCM相类似,以病理学检查结果为金标准。15例患者经中医内治法和外治法联合治疗后,症状缓解,局部病灶消失,且随访半年无复发病例。结论副乳腺PCM在临床上较为罕见,易发生误诊、漏诊,临床治疗难度较高,中医药内外结合治疗副乳腺PCM疗效显著,值得进一步推广。Background Accessory breast plasma cell mastitis(PCM)is uncommon in clinical practice with rare reports.Objective To investigate the clinical characteristics,diagnostic methods and the traditional Chinese medicine(TCM)clinical efficacy of accessory breast PCM.Methods The clinical diagnosis and treatment data of 15 patients with accessory breast PCM admitted to Beijing Hospital of Traditional Chinese Medicine,Capital Medical University from January 2017 to December 2021 were analyzed retrospectively,the general information,diagnostic methods,treatment methods and outcomes of 15 cases with accessory breast PCM were summarized.Results A total of 15 female patients of childbearing age with accessory breast PCM were included in this paper,with onset within 2-5 years after pregnancy.The etiology was complex and the course of accessory breast PCM was protracted,which was similar to breast PCM in pathogenetic characteristics,using pathological examination results as gold standard for diagnosis.After the combination of internal and external treatment of TCM,the symptoms of 15 patients were relieved,local lesions disappeared,and there was no recurrence after six months of follow-up.Conclusion Accessory breast PCM is rare in clinical practice,which is easy to be misdiagnosed or missed,and difficult to be treated clinically.The combination of internal and external treatment of TCM has a significant effect on accessory breast PCM.

关 键 词：浆细胞性乳腺炎 副乳腺 粉刺性乳痈 中医药 回顾性分析 

分 类 号：R655.8[医药卫生—外科学]