乳腺增生病中医证候与彩色多普勒超声表现相关性研究

发布时间：2018-06-16 22:46

本文选题：乳腺增生病 + 乳癖　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的:通过对临床上不同证候分型的乳腺增生症进行彩色多普勒检测,观察不同证候分型的彩超表现,为乳腺增生症的中医证候诊断提供影像学依据。方法:将194例乳腺增生病患者根据诊断标准分为肝郁气滞、冲任失调、痰瘀互结三种证候,运用彩色多普勒超声观察乳腺增生病声像图及血流动力学的表现,探讨彩色多普勒检测与乳腺增生症不同分型的联系,比较不同证候患者彩超声像图、血流动力学的表现。结果:1.在乳腺增生病的三种证候之中,肝郁气滞证占52.58%,明显高于痰瘀互结证、冲任失调证。2.患者的年龄、病程、怀孕次数、人工流产次数、病史对中医证型分布均有影响。肝郁气滞证的病程相对较短。痰瘀互结证的病程相对较长,合并乳腺纤维瘤、子宫肌瘤者较多,冲任失调证患者合并子宫肌瘤者较多。冲任失调证患者年龄相对较高,怀孕次数、人流次数较多,黄体期孕酮水平降低者较多,黄体期黄体生成素水平升高者较多。3.肝郁气滞证声像图分级较痰瘀互结证、冲任失调证低。单纯增生型声像图多见于肝郁气滞证,囊性增生型声像图多见于痰瘀互结证,实质肿块型声像图在三种证候之间差异无统计学意义。4.194例患者中有118例(60.82%)未探及血流信号,有76例(39.18%)探及血流信号,但多为Ⅰ~Ⅱ级信号,Ⅲ级信号很少见。5.痰瘀互结证血流信号分级、收缩期最大流速、舒张期最小流速、血流阻力指数较高,这与“实质性肿块型乳腺增生病血流丰富”的结论一致。结论:不同证候的乳腺增生病患者,其彩色多普勒超声表现也有所不同。彩色多普勒超声声像图可以作为乳腺增生病中医证候诊断的参考标准,对中医证候诊断准确率的提高具有重要意义,值得进一步研究。
[Abstract]:Objective: To observe the color Doppler detection of hyperplasia of mammary glands in different clinical syndromes, observe the color Doppler ultrasound manifestations of different syndrome types, and provide imaging basis for the diagnosis of TCM syndrome of hyperplasia of mammary glands. Methods: 194 cases of hyperplasia of mammary glands were divided into three types: stagnation of liver Qi and qi stagnation, maladjustment and mutual accumulation of phlegm and blood stasis. The color Doppler ultrasonography was used to observe the ultrasonography and hemodynamics of hyperplasia of mammary glands. The relationship between color Doppler detection and different types of hyperplasia of mammary glands was discussed, and the color Doppler ultrasound images of different syndromes and hemodynamics were compared. Results: 1. of the three syndromes of hyperplasia of mammary glands, the syndrome of stagnation of liver qi and qi stagnation was 52.58%. The age, the course of the disease, the number of pregnancy, the number of abortion, the history of the disease had an influence on the distribution of TCM syndrome type. The course of the syndrome of stagnation of liver qi and qi stagnation was relatively short. The course of the syndrome of phlegm and stasis syndrome was relatively long, with the combination of mammary fibroma and hysteromyoma, and the patients with.2. were combined with myoma of uterus. The age of the disorder syndrome is relatively high, the number of pregnancy, the number of people flow more, the progesterone level in the luteal stage is lower, the level of luteinizing hormone in the luteal stage is more.3. than the stagnation of phlegm and blood stasis syndrome, and the disorder syndrome is low. The simple hyperplastic image is mostly seen in the stagnation of liver qi stagnation and cystic hyperplasia sound. The images were mostly seen in the syndrome of phlegm and blood stasis, and there was no significant difference between the three syndromes in the three syndromes. There were 118 cases (60.82%) of the patients who did not detect the blood flow signal, and 76 cases (39.18%) detected the blood flow signal, but most of them were grade I ~ II signals, and the grade III signals were very rare in the classification of blood flow signals and the maximum systolic velocity, The minimum velocity of diastolic flow and the high blood flow resistance index are higher, which is consistent with the conclusion of "the rich blood flow of solid mass breast hyperplasia". Conclusion: the color Doppler sonography of the patients with different syndromes of hyperplasia of mammary glands is different. The color Doppler sonogram can be used as the reference standard for the diagnosis of TCM syndrome of hyperplasia of mammary glands. It is of great significance to improve the accuracy of TCM syndrome diagnosis, and is worthy of further study.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R269

【相似文献】