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洞穴式清创术合透脓散治疗亚急性期肉芽肿性乳腺炎49 例
马 争,胡金辉
0
(湖南中医药大学,湖南 长沙,410208;湖南中医药大学第一附属医院,湖南 长沙,410007)
摘要:
目的:观察洞穴式清创术合透脓散治疗亚急性期肉芽肿性乳腺炎(GLM)的临床疗效。方法:将98 例亚急性期肉芽肿性乳腺炎患者随机分为治疗组和对照组,每组各49 例。治疗组予洞穴式清创术合透脓散治疗,对照组予切开排脓术合透脓散治疗。2组治疗后进行6 个月随访,观察比较2组乳房外形、疼痛、功能等情况并进行评分,比较2组病程,评价综合疗效。结果:总有效率治疗组为95.92%(47/49),明显高于对照组的79.59%(39/49),差异有统计学意义(P<0.05);2组乳房外形、疼痛评分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05);治疗组病程短于对照组,差异有统计学意义(P<0.05)。结论:洞穴式清创术合透脓散治疗亚急性期肉芽肿性乳腺炎,能明显缩短病程,减轻痛苦,保留较好的乳房外形及功能。
关键词:  肉芽肿性乳腺炎  亚急性期  透脓散  洞穴式清创术
DOI:
Clinical effect of cave debridement combined with Tounong powder in treatment of subacute granulomatous mastitis:An analysis of 49 cases
MA Zheng,HU Jinhui
(Hunan University of Chinese Medicine,Changsha 410208,Hunan,China;The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,Hunan,China)
Abstract:
Objective:To investigate the clinical effect of cave debridement combined with Tounong powder in the treatment of subacute granulomatous mastitis.Methods:A total of 98 patients with subacute granulomatous mastitis were randomly divided into treatment group and control group,with 49 patients in each group.The patients in the treatment group were given cave debridement combined with Tounong powder,and those in the control group were given incision and drainage combined with Tounong powder.Both groups were followed up for 4 months after treatment,and breast shape,pain,and function were observed and scored;the course of disease was compared between the two groups,and overall response was evaluated.Results:There was a significant difference in overall response rate between the treatment group and the control group [95.92% (47/49) vs 79.59% (39/49),P<0.05].Both groups had significant changes in the scores of breast shape and pain after treatment,and there were significant differences in these scores between the two groups after treatment (P<0.05).The treatment group had a significantly shorter course of the disease than the control group (P<0.05).Conclusion:In the treatment of subacute granulomatous mastitis,cave debridement combined with Tounong powder can significantly shorten the course of disease,alleviate pain,and maintain good shape and function of breast.
Key words:  granulomatous mastitis  subacute  cave debridement  Tounong powder

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