本文選題：藥物灌注 + 理療��； 參考：《青島大學(xué)》2017年碩士論文

【摘要】：目的:分析乳頭溢液的病因,探討良性乳腺疾病乳頭溢液的治療方法,評(píng)價(jià)藥物灌注聯(lián)合理療與單純理療對(duì)良性乳腺疾病乳頭溢液的治療效果,并分析兩種不同的治療方案對(duì)良性乳腺疾病乳頭溢液預(yù)后的影響。方法:回顧性分析2014年1月至2015年12月就診于壽光市婦幼保健院的乳頭溢液患者的臨床資料,根據(jù)研究入組標(biāo)準(zhǔn),整理分析資料,選取良性乳腺疾病乳頭溢液患者共164例,包括乳腺導(dǎo)管擴(kuò)張伴炎癥113例,單純?nèi)橄賹?dǎo)管擴(kuò)張51例。溢液性質(zhì)表現(xiàn)為血性溢液、乳汁樣溢液、水樣溢液、漿液性溢液、膿性溢液。根據(jù)治療方案分為2組,藥物灌注聯(lián)合理療組86例,包括血性溢液1例,乳汁樣溢液23例,水樣溢液18例,漿液性溢液25例,膿性溢液19例。單側(cè)乳房溢液55例,雙側(cè)乳房溢液31例。本組給予生理鹽水、地塞米松、利多卡因聯(lián)合甲硝唑藥物灌注治療聯(lián)合理療。單純理療組78例,包括血性溢液0例,乳汁樣溢液22例,水樣溢液19例,漿液性溢液21例,膿性溢液16例。單側(cè)乳房溢液49例,雙側(cè)乳房溢液29例。本組給予單純理療。根據(jù)兩種治療方案的治療效果,比較兩種方案的差異,并對(duì)其進(jìn)行評(píng)價(jià)。結(jié)果:所有患者均隨訪至2016年6月,隨訪時(shí)間6~12個(gè)月,藥物灌注聯(lián)合理療組總體有效率為96.5%(83/86),單純理療組總體有效率為56.4%(44/78),兩種方案對(duì)治療良性乳腺疾病乳頭溢液疾病均有效果,但藥物灌注聯(lián)合理療組有效率明顯高于單純理療組,兩組有效率差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:良性乳腺疾病乳頭溢液,可以給予保守治療,給予藥物灌注聯(lián)合理療的方法治療,有顯著的療效,藥物灌注聯(lián)合理療與單純理療相比較,治愈率明顯提高,對(duì)通過藥物灌注聯(lián)合理療得到治愈的患者,避免了手術(shù),降低了該疾病的總體手術(shù)率,治療過程安全有效,使患者生活質(zhì)量得到明顯提高。
[Abstract]:Objective: to analyze the etiology of nipple discharge, to explore the treatment method of nipple discharge of benign breast disease, and to evaluate the therapeutic effect of drug infusion combined with physiotherapy and physiotherapy alone on the treatment of benign breast disease nipple discharge. The effects of two different treatments on the prognosis of benign breast disease nipple discharge were analyzed. Methods: the clinical data of patients with nipple discharge from January 2014 to December 2015 in Shouguang Maternal and Child Health Hospital were retrospectively analyzed. According to the study criteria, 164 patients with nipple discharge of benign breast disease were selected. There were 113 cases of mammary duct dilatation with inflammation and 51 cases of simple mammary duct dilatation. The characteristics of the superfluous fluid are bloody, emulsion, water, serous and purulent. According to the treatment plan, 86 cases were divided into two groups, including 1 case of blood discharge, 23 cases of milk effusion, 18 cases of water overflow, 25 cases of serous discharge and 19 cases of purulent discharge. There were 55 cases of unilateral breast discharge and 31 cases of bilateral breast discharge. Normal saline, dexamethasone, lidocaine and metronidazole were given. There were 78 cases in physiotherapy group, including blood discharge (0 cases), lactation (22 cases), effusion (19 cases), serous discharge (21 cases) and purulent discharge (16 cases). There were 49 cases of unilateral breast discharge and 29 cases of bilateral breast discharge. This group was given simple physiotherapy. According to the therapeutic effects of the two treatments, the differences between the two schemes were compared and evaluated. Results: all the patients were followed up to June 2016, the follow-up time was 6 ~ 12 months, the total effective rate of the drug perfusion combined physiotherapy group was 96.5 / 86, and the total effective rate of the simple physiotherapy group was 56.4% 44 / 78. The two methods were effective in the treatment of benign breast disease nipple discharge disease. But the effective rate of drug perfusion combined physiotherapy group was significantly higher than that of simple physiotherapy group, the difference between the two groups was statistically significant (P 0.05). Conclusion: the nipple discharge of benign breast disease can be treated with conservative treatment and combined therapy of drug perfusion and physiotherapy. The cure rate of the combination of drug perfusion and physiotherapy is significantly higher than that of simple physiotherapy. For the patients cured by drug infusion combined with physiotherapy, the operation was avoided, the overall operation rate was reduced, the treatment process was safe and effective, and the quality of life of the patients was improved obviously.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R655.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 石雪楓;凌文津;;十大功勞木液灌注治療良性乳頭溢液療效觀察[J];廣西中醫(yī)藥;2014年03期

2 吳斌;;乳頭溢液診斷治療新進(jìn)展[J];臨床醫(yī)學(xué);2012年12期

3 斯巖;王水;肇毅;;乳管鏡診治乳頭溢液980例分析[J];江蘇醫(yī)藥;2012年21期

4 于海靜;王頎;楊劍敏;連臻強(qiáng);張安秦;李文萍;許娟;朱彩霞;郜紅藝;賴有行;;抗分枝桿菌藥物治療竇道型導(dǎo)管周圍乳腺炎[J];中華外科雜志;2012年11期

5 趙輝;王啟堂;于永政;;難治性乳腺炎18例臨床分析[J];白求恩軍醫(yī)學(xué)院學(xué)報(bào);2012年05期

6 孫剛;明佳;;美容切口在乳腺膿腫切開引流術(shù)中的應(yīng)用[J];中華乳腺病雜志(電子版);2012年02期

7 顧偉青;王強(qiáng);;置管負(fù)壓引流治療乳房膿腫35例體會(huì)[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2011年15期

8 楊劍敏;王頎;張安秦;許娟;郜紅藝;李文萍;于海靜;;導(dǎo)管周圍乳腺炎與肉芽腫性乳腺炎的臨床鑒別與處理[J];中華乳腺病雜志(電子版);2011年03期

9 許能;祝迎鋒;徐曄;項(xiàng)逸倫;;109例漿細(xì)胞性乳腺炎病理形態(tài)分析及中醫(yī)治療[J];中國(guó)中醫(yī)藥現(xiàn)代遠(yuǎn)程教育;2011年08期

10 郝偉秀;;乳腺導(dǎo)管擴(kuò)張癥的手術(shù)改進(jìn)臨床分析[J];中國(guó)醫(yī)藥指南;2011年06期

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