中西医结合治疗浆细胞性乳腺炎的疗效研究论文论文.docx

中西医结合治疗浆细胞性乳腺炎疗效研究 研究生：阿斯亚 导师：段永亮副教授 摘 要 冃的：寻求本病术后减少复发的治疗方法，探讨浆细胞性乳腺炎治疗中手术联 合中药治疗的有效性，归纳总结比较手术联合中药治疗与单纯手术治疗浆细胞性乳 腺炎的临床疗效及复发率。方法：回顾性分析新疆维吾尔自治区中医医院2002年2 月?2009年3月经病理确诊、中医辨证属肝经郁热型的浆细胞性乳腺炎患者35例， 将35例患者按治疗方法不同分为手术联合中药组（治疗组）和单纯手术组（对照组）， 全部患者均采用手术治疗，术式：肿块切除术。其中治疗组20例，手术联合中药口 服，对照组15例只采用手术治疗。随访患者在术后三月、半年及一年的复发情况， 并通过术后疗效观察及长期随访，比较这35例患者中治疗组（手术联合中药组）和 对照组（单纯手术组）患者的症状、体征的改善及复发的情况。结果：35例患者均 治愈，治疗组在缓解症状、情绪因素、乳房外形改变、复发率上明显优于对照组， 两者在统计学上有差异。结论：浆细胞性乳腺炎患者手术联合中药治疗，与单纯手 术相比，明显缓解患者症状，降低术后复发和延长复发时间。 关键词：浆细胞性乳腺炎；乳腺导管扩张证；中西医结合；疗效分析 Clinical research the curative effect and relapse rate ofplasma cell mastitis in operation combine with theChinese materia medica Postgraduate^ siya Supervisor: Associate professor Duan yongliang Abstract Objective: To explore the treatment method for decrease the relapse after operation.and the validity of after operation, induce the summary compares the curative effect and relapse rate of plasma cell mastitis in operation combine with the Chinese materia medica. Methods: The data of 35 patients plasma cell mastitis in Xinjiang Hopistal of Chinese medicine between February, 2002一 March, 2009. Which were pathological diagnosed were retrospectively analyed. According to syndrome differentiation of symptoms and signs. It is divided into operation combine with the Chinese materia medica (therapy group) and pure operation (control group), according to the treatment method dissimilarity, all the patients adopt the Surgical operation, type of operation: lump resection.The therapy group is treated by taked orally Chinese materia medica after accepted operation, the control group is 15 to adopt the operation treatment. All case after carry on the operation with follow-up visit, through March, half a year, a year of with follow-up visi, the curative effect observation and long-term with follow-up visit, compare with the improvement symptom and signed and recrudescent in this 35 patients. Results: All the 35 of patients curing, therapy group has good curative effect,