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副乳腺浆细胞性乳腺炎中医药临床诊治分析

Clinical Diagnosis and Treatment of Accessory Breast Plasma Cell Mastitis with Traditional Chinese Medicine

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背景 副乳腺浆细胞性乳腺炎(PCM)在临床上较为罕见,相关报道较少,临床多易发生误诊、漏诊,为其早期诊治带来极大挑战.目的 探讨副乳腺PCM的临床特点、诊断方法及中医药治疗的临床疗效.方法 回顾性分析首都医科大学附属北京中医医院 2017 年 1 月—2021 年 12 月收治的 15 例副乳腺PCM患者的中医药临床诊疗资料,对 15 例副乳腺PCM患者的一般资料、诊断方法、治疗方法及结果进行归纳总结.结果 本文共纳入 15 例女性副乳腺PCM患者,均为育龄期妇女,妊娠后2～5年内发病,病因复杂,病程迁延,发病特点与乳腺部位的PCM相类似,以病理学检查结果为金标准.15 例患者经中医内治法和外治法联合治疗后,症状缓解,局部病灶消失,且随访半年无复发病例.结论 副乳腺PCM在临床上较为罕见,易发生误诊、漏诊,临床治疗难度较高,中医药内外结合治疗副乳腺PCM疗效显著,值得进一步推广.
Background Accessory breast plasma cell mastitis(PCM)is uncommon in clinical practice with rare reports.Objective To investigate the clinical characteristics,diagnostic methods and the traditional Chinese medicine(TCM)clinical efficacy of accessory breast PCM.Methods The clinical diagnosis and treatment data of 15 patients with accessory breast PCM admitted to Beijing Hospital of Traditional Chinese Medicine,Capital Medical University from January 2017 to December 2021 were analyzed retrospectively,the general information,diagnostic methods,treatment methods and outcomes of 15 cases with accessory breast PCM were summarized.Results A total of 15 female patients of childbearing age with accessory breast PCM were included in this paper,with onset within 2-5 years after pregnancy.The etiology was complex and the course of accessory breast PCM was protracted,which was similar to breast PCM in pathogenetic characteristics,using pathological examination results as gold standard for diagnosis.After the combination of internal and external treatment of TCM,the symptoms of 15 patients were relieved,local lesions disappeared,and there was no recurrence after six months of follow-up.Conclusion Accessory breast PCM is rare in clinical practice,which is easy to be misdiagnosed or missed,and difficult to be treated clinically.The combination of internal and external treatment of TCM has a significant effect on accessory breast PCM.

Plasma cell mastitisAccessory breastAcne mastitisTraditional Chinese medicineRetrospective analysis

曾奕斐、张董晓、东浩、付娜、张红凯、冯硕

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100020 北京市,北京中医药大学

100010 北京市,首都医科大学附属北京中医医院乳腺科

100010 北京市,首都医科大学附属北京中医医院病理科

102618 北京市,中国中医科学院广安门医院南区

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浆细胞性乳腺炎 副乳腺 粉刺性乳痈 中医药 回顾性分析

北京市科委首都临床诊疗技术研究及转化应用北京市医院管理中心培育计划北京市中医管理局规划项目首都医科大学2022年教育教学改革研究课题

Z211100002921020PZ2021011JJ-2020-642022JYY303

2024

10.12114/j.issn.1007-9572.2022.0845

中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子：2.04
ISSN：1007-9572
年,卷(期)：2024.27(15)
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