本文選題：漿細(xì)胞性乳腺炎 + 彩色多普勒超聲�。� 參考：《南京中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：分析漿細(xì)胞性乳腺炎的彩色多普勒超聲表現(xiàn),歸納超聲聲像圖的征象特點(diǎn),提高漿細(xì)胞性乳腺炎超聲診斷的符合率,探究彩色多普勒超聲分型診斷漿細(xì)胞性乳腺炎在中醫(yī)藥診治中的應(yīng)用價(jià)值。方法：回顧性分析在我院臨床手術(shù)或穿刺病理證明的78例漿細(xì)胞性乳腺炎患者的腫塊形態(tài)、大小、部位、分布特點(diǎn)、內(nèi)部回聲等彩色多普勒超聲聲像圖特征,及其與臨床分期、中醫(yī)辨證分型的關(guān)系。結(jié)果：漿細(xì)胞性乳腺炎的超聲表現(xiàn)主要分4種類型,為導(dǎo)管擴(kuò)張型、腫塊型、囊實(shí)混合型及膿腫型。漿細(xì)胞性乳腺炎臨床過(guò)程可分為急性期、亞急性期、慢性期3期,超聲分型與其有一定的對(duì)應(yīng)關(guān)系。漿細(xì)胞性乳腺炎中醫(yī)辨證分型本組病例中,肝經(jīng)蘊(yùn)熱證28例,占35.9%,膿腫型12例,占42.9%,導(dǎo)管擴(kuò)張型11例,占39.3%,腫塊型5例,占17.9%；余毒未清型50例,占64.1%,膿腫型3例,占6.0%,囊實(shí)混合型19例,占38.0%,腫塊型28例,占56.0%。結(jié)論：漿細(xì)胞性乳腺炎聲像圖有一定的特征性,彩色多普勒超聲能準(zhǔn)確地發(fā)現(xiàn)病灶,結(jié)合病灶的特征及臨床特點(diǎn),能夠作出正確的診斷,對(duì)臨床診療具有重要的意義�；诓噬嗥绽粘暵曄駡D征象基礎(chǔ)上的超聲分型能夠?yàn)榕R床提供重要的參考信息,不僅為臨床分期提供依據(jù),而且為中醫(yī)臨床辨證分型、辨證施治提供依據(jù)。
[Abstract]:Objective: to analyze the color Doppler sonographic features of plasma cell mastitis, and to improve the diagnostic accuracy of ultrasonic diagnosis of plasma cell mastitis. To explore the diagnostic value of color Doppler ultrasonography in the diagnosis and treatment of plasma cell mastitis. Methods: the shape, size, location, distribution, internal echo and color Doppler sonography of 78 patients with plasma cell mastitis proved by clinical operation or puncture pathology in our hospital were analyzed retrospectively. The relationship between Syndrome differentiation and Classification of TCM. Results: the ultrasonographic manifestations of plasmacytic mastitis were divided into 4 types: ductal dilatation type, mass type, mixed cystic type and abscess type. The clinical process of plasma cell mastitis can be divided into three stages: acute stage, subacute stage and chronic stage. There were 28 cases of liver meridian heat accumulation syndrome, 12 cases of abscess type (42.9%), 11 cases of ductal dilated type (39.3%), 5 cases of mass type (17.9%), 50 cases of residual toxic type (64.1%) and 3 cases of abscess type. There were 19 cases of mixed cyst and solid type (38.0%) and 28 cases of mass type (56.0%). Conclusion: the sonogram of plasmacytic mastitis has some characteristics. Color Doppler ultrasound can accurately find the lesions, combining with the characteristics and clinical characteristics of the lesions, can make a correct diagnosis, which is of great significance for clinical diagnosis and treatment. The ultrasonic classification based on color Doppler sonography can provide important reference information for clinical practice, not only for clinical staging, but also for TCM clinical syndrome differentiation and treatment.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R269;R445.1

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本文編號(hào)：1950282