| 摘要: |
| 目的 基于常规超声及平面波超敏感血流成像(AP)技术,研究不同中医证型肿块型肉芽肿性乳腺炎(GM)超声影像学表现,探讨中医证型与超声表现的相关性。方法 将肿块型GM患者80例中医辨证分型,分为气滞热壅证组和阳虚痰凝证组,行乳腺常规超声及AP检查,观察并记录患者超声声像图特征,进行超声分型及AP血流分级,分析及比较两组患者超声影像学表现的差异,探讨中医证型与超声表现的关系。结果 两组患者比较,超声声像图中肿块位置、最大径、纵横比、内部回声、后方回声、有无点状强回声、导管是否扩张差异无统计学意义(p>0.05),肿块形态、边缘差异有统计学意义(p<0.05),两组患者超声分型分布不同,差异有统计学意义(p<0.05),中医证型与超声分型有相关性(p<0.05),AP血流分级显示气滞热壅证组较阳虚痰凝证组患者肿块血流分级更高,差异有统计学意义(p<0.05)。结论 超声在肿块型GM的中医临床诊疗中有重要价值。 |
| 关键词: 肉芽肿性乳腺炎 中医证型 超声 平面波超敏感血流成像 |
| DOI： |
| 投稿时间：2024-03-28修订日期：2024-03-28 |
| 基金项目:2021年重庆市科研机构绩效激励引导专项项目(jxyn2021-2-8);2022年重庆市教育委员会科学技术研究项目(KJQN202215117);2022年重庆市科卫联合医学科研项目(2022MSXM189);2018年重庆市科研机构绩效激励引导专项项目(cstc2018jxjl130012);2018年重庆市科卫联合中医药科技项目(ZY201802021)；重庆市中医院第三批青年拔尖人才项目(CQSZYY2022009) |
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| The study of ultrasonic characteristics of mass type granulomatous mastitis in different traditional Chinese medicine syndromes |
| SUN Jinghuan,YANG Qianmei,DONG Guifang |
| () |
| Abstract: |
| Objective To investigate the ultrasonic imaging features of mass type granulomatous mastitis (GM) with different traditional Chinese medicine syndromes based on conventional ultrasound and angio planewave ultrasensitive imaging (AP) techniques, and explore the correlation between traditional Chinese medicine syndromes with ultrasonic features. Methods 80 cases of GM patients with mass type were divided into Qi stagnation heat syndrome group and Yang deficiency spittoon syndrome group. Conventional ultrasound and AP examination were performed to record the ultrasound image characteristics of the patients.Then the ultrasound classification and AP blood flow classification were performed to compare the differences in ultrasound imaging findings between the two groups. At last, we explored the relationship between traditional Chinese medicine syndrome type and ultrasonic manifestation.Results There were no statistically significant differences in tumor location, maximum diameter, longitudinal to transverse ratio, internal echo, posterior echo, with or without punctate strong echo, and catheter dilation in ultrasound images between two groups (p>0.05), but the differences in tumor morphology and edge were statistically significant (p<0.05).The ultrasound classification distribution was significantly different between the two groups(p<0.05), and the correlation between traditional Chinese medicine syndrome type with the ultrasound type was also significant (p<0.05).,and there was a correlation between traditional Chinese medicine syndrome type and ultrasound type (p<0.05) .AP showed that the mass blood grade of patients in Qi-stagnation heat syndrome group was higher than that in Yang-deficiency phlegm-coagulation syndrome group, and the difference was statistically significant (p<0.05).Conclusion Ultrasound have a great value in the traditional Chinese medicine clinical diagnosis and treatment of mass GM. |
| Key words: granulomatous mastitis TCM syndrome type ultrasound angio planewave ultrasensitive imaging |
