肉芽肿性乳腺炎采用乳管灌注联合三才配穴法治疗的效果及并发症观察  

Observation on the Effect and Complications of Breast Duct Perfusion Combined with Sancai Points Combination in the Treatment of Granulomatous Mastitis

作　　者：罗妍妍 吴晶 刘世洪 王新杰[1] LUO Yanyan;WU Jing;LIU Shihong;WANG Xinjie(Department of General Surgery,Jishui County People's Hospital,Jishui 331600,Jiangxi,China)

机构地区：[1]吉水县人民医院普外科,江西吉水331600

出　　处：《医学信息》2024年第19期82-85,共4页Journal of Medical Information

基　　金：江西省吉安市科技计划项目(编号:20233-043795)。

摘　　要：目的 观察肉芽肿性乳腺炎采用乳管灌注联合三才配穴法治疗的效果及并发症。方法 选取2021年1月-2023年3月我院诊治的62例肉芽肿性乳腺炎患者为研究对象,采用随机数字表法分为对照组和观察组,各组31例。对照组采用乳管灌注治疗,观察组在对照组基础上采用三才配穴法治疗,比较两组治疗效果、疼痛程度、中医证候评分、肿块相关指标(最大直径、肿块硬度评分)、并发症发生率、复发率。结果 观察组治疗总有效率为96.77%,高于对照组的83.87%(P<0.05);两组治疗后疼痛评分、中医证候评分均低于治疗前,且观察组低于对照组(P<0.05);两组治疗后肿块最大直径、硬度评分均低于治疗前,且观察组低于对照组(P<0.05);观察组并发症发生率为9.68%,低于对照组的19.35%(P<0.05);随访3个月,观察组复发率为6.45%,低于对照组的16.13%(P<0.05)。结论 采用乳管灌注联合三才配穴法治疗肉芽肿性乳腺炎的效果理想,可降低中医证候评分,减轻患者疼痛度,缩小肿块直径,改善肿块质地,降低并发症发生率和复发率。Objective To observe the effect and complications of breast duct perfusion combined with Sancai points combination in the treatment of granulomatous mastitis.Methods A total of 62 patients with granulomatous mastitis diagnosed and treated in our hospital from January 2021 to March 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 31 patients in each group.The control group was treated with breast duct perfusion,and the observation group was treated with Sancai points combination on the basis of the control group.The therapeutic effect,pain degree,TCM syndrome score,mass related index(maximum diameter,mass hardness score),complication rate and recurrence rate were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.77%,which was higher than 83.87%in the control group(P<0.05).After treatment,the pain score and TCM syndrome score of the two groups were lower than those before treatment,and those of the observation group were lower than those of the control group(P<0.05).After treatment,the maximum diameter and hardness scores of the masses in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 9.68%,which was lower than 19.35%in the control group(P<0.05).After 3 months of follow-up,the recurrence rate of the observation group was 6.45%,which was lower than 16.13%of the control group(P<0.05).Conclusion The effect of breast duct perfusion combined with Sancai points combination in the treatment of granulomatous mastitis is ideal,which can reduce the TCM syndrome score,relieve the pain of patients,reduce the diameter of the mass,improve the texture of the mass,and reduce the incidence of complications and recurrence rate.

关 键 词：肉芽肿性乳腺炎 乳管灌注 三才配穴法 

分 类 号：R655.8[医药卫生—外科学]