浆细胞性乳腺炎彩色多普勒超声征象分析及其在中医诊疗中的应用

发布时间：2018-05-29 08:56

本文选题：浆细胞性乳腺炎 + 彩色多普勒超声　；参考：《南京中医药大学》2014年硕士论文

【摘要】：目的：分析浆细胞性乳腺炎的彩色多普勒超声表现,归纳超声声像图的征象特点,提高浆细胞性乳腺炎超声诊断的符合率,探究彩色多普勒超声分型诊断浆细胞性乳腺炎在中医药诊治中的应用价值。方法：回顾性分析在我院临床手术或穿刺病理证明的78例浆细胞性乳腺炎患者的肿块形态、大小、部位、分布特点、内部回声等彩色多普勒超声声像图特征,及其与临床分期、中医辨证分型的关系。结果：浆细胞性乳腺炎的超声表现主要分4种类型,为导管扩张型、肿块型、囊实混合型及脓肿型。浆细胞性乳腺炎临床过程可分为急性期、亚急性期、慢性期3期,超声分型与其有一定的对应关系。浆细胞性乳腺炎中医辨证分型本组病例中,肝经蕴热证28例,占35.9%,脓肿型12例,占42.9%,导管扩张型11例,占39.3%,肿块型5例,占17.9%；余毒未清型50例,占64.1%,脓肿型3例,占6.0%,囊实混合型19例,占38.0%,肿块型28例,占56.0%。结论：浆细胞性乳腺炎声像图有一定的特征性,彩色多普勒超声能准确地发现病灶,结合病灶的特征及临床特点,能够作出正确的诊断,对临床诊疗具有重要的意义。基于彩色多普勒超声声像图征象基础上的超声分型能够为临床提供重要的参考信息,不仅为临床分期提供依据,而且为中医临床辨证分型、辨证施治提供依据。
[Abstract]:Objective: to analyze the color Doppler sonographic features of plasma cell mastitis, and to improve the diagnostic accuracy of ultrasonic diagnosis of plasma cell mastitis. To explore the diagnostic value of color Doppler ultrasonography in the diagnosis and treatment of plasma cell mastitis. Methods: the shape, size, location, distribution, internal echo and color Doppler sonography of 78 patients with plasma cell mastitis proved by clinical operation or puncture pathology in our hospital were analyzed retrospectively. The relationship between Syndrome differentiation and Classification of TCM. Results: the ultrasonographic manifestations of plasmacytic mastitis were divided into 4 types: ductal dilatation type, mass type, mixed cystic type and abscess type. The clinical process of plasma cell mastitis can be divided into three stages: acute stage, subacute stage and chronic stage. There were 28 cases of liver meridian heat accumulation syndrome, 12 cases of abscess type (42.9%), 11 cases of ductal dilated type (39.3%), 5 cases of mass type (17.9%), 50 cases of residual toxic type (64.1%) and 3 cases of abscess type. There were 19 cases of mixed cyst and solid type (38.0%) and 28 cases of mass type (56.0%). Conclusion: the sonogram of plasmacytic mastitis has some characteristics. Color Doppler ultrasound can accurately find the lesions, combining with the characteristics and clinical characteristics of the lesions, can make a correct diagnosis, which is of great significance for clinical diagnosis and treatment. The ultrasonic classification based on color Doppler sonography can provide important reference information for clinical practice, not only for clinical staging, but also for TCM clinical syndrome differentiation and treatment.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R269;R445.1

【参考文献】