摘要
目的:观察中药内外合治肉芽肿性小叶性乳腺炎的临床疗效。方法:选取肉芽肿性小叶性乳腺炎患者118例,采用中药消痈乳康汤为主方辨证分型加减内服治疗,并根据乳腺局部肿块、脓肿、瘘管情况灵活结合外治法(如箍围法、切排法、祛腐生肌法、提脓祛腐法、垫棉绑缚法)治疗。结果:痊愈115例,好转3例,复发2例。痊愈率97.5%,复发率1.7%。结论:中药内外合治肉芽肿性小叶性乳腺炎效果显著。
Objective: To investigate the clinical effect of combined internal and external traditional Chinese medicine(TCM) therapy in the treatment of granulomatous lobular mastitis. Methods: A total of 118 patients with granulomatous lobular mastitis were enrolled and treated with oral administration ofdecoction based on syndrome differentiation. External treatment was given based on local mass,abscess,and fistula in the breast,such as hoop method,cutting and removing method,method of removing slough and promoting growth of tissue regeneration,pus drainage and removal of necrotic tissue,and cotton pad bandaging method. Results: Of all patients,115 were cured,3 were improved,and 2 experienced recurrence. The cure rate was 97. 5%,and the recurrence rate was 1. 7%. Conclusion: Combined internal and external TCM therapy has a marked clinical effect in the treatment of granulomatous lobular mastitis.
引文
[1]朱耀华,范培芝,张超杰,等.肉芽肿小叶性乳腺炎的治疗进展[J].医学与哲学,2016,37(5):56-59.
[2]Lacambra M,Thai TA,Lam CC,et al.Granulomatous mastitis:the histological differentials[J].J Clin Pathol,2011,64(5):405-411.
[3]张伟霞,聂佳欣,李松莲,等.刘丽芳治疗肉芽肿性乳腺炎经验[J].湖南中医杂志,2017,33(3):32-34.
[4]王月,刘丽芳,周亮,等.矾冰纳米乳结合中药内服治疗浆细胞性乳腺炎临床疗效观察[J].四川中医,2013,31(5):80-81.
[5]林毅,唐汉钧.现代中医乳房病学[M].北京:人民卫生出版社,2003:187.
[6]Altintoprak F,Kivilcim T,Ozkan OV.Aetiology of idiopathic granulomatous mastitis[J].World J Clin Case,2014,2(12):852-858.
[7]郭艳静,刘丽芳,周亮,等.消痈乳康汤为主治疗浆细胞性乳腺炎[J].中国中医药现代远程教育,2012,10(7):18-19.