Retrospective Clinical Study Of 30 Patients With Diagnosis Of Granulomatous Mastitis With Combination Of TCM And Western Medicine

Objective: This study aims to discuss clinical features of granulomatous mastitis, clinical manifestations, diagnosis, staging, the western medicine treatment, through the review of the clinical data, summarize the experience of diagnosis and treatment.Methods: Collect 2014 January to December 2014 in Shandong University of traditional Chinese Medicine Affiliated Hospital of breast and thyroid surgery in the hospital granulomatous mastitis cases, collected in the original case information, including general information, clinical illness, treatment, finishing and register data on the predisposing factors, disease characteristics, treatment after and prognosis were retrospectively analyzed, using Excel software to gather data, using SPSS 17.0 statistical software package was used for statistical analysis.Results: 1, collected a total of 30 cases of granulomatous mastitis, female patients. The age of onset was 22 to 43 years, the average age was 4.73 ± 31 years, with the age of 32.30 to 35 years old(the proportion was 50%). 2, from the end of lactation after two years of granulomatous mastitis incidence increased(43.3%). 3. The incidence of autumn and winter festival is more.3, according to clinical manifestations, can be divided into mass stage, abscess stage, the late ulcer, including mass stage 9 cases, abscess stage 11 cases, 10 cases of late, respectively, the total number of 30%, 36.3%, 33.3%. 4, the most easily misdiagnosed as mammary duct dilatation disease at first visit. 5, according to the method of clinical stage, combination of traditional Chinese and Western medicine treatment of this disease, 30 cases were followed up, follow-up time of 20 days to 12 months, the average follow-up time 4 months, recurrence in 4 cases(mass in 2 cases, abscess in 1 case, ulcerative stage 1 cases). The total recurrence rate was 13.3%.Conclusion: According to the clinical features and performance of the disease, the disease is divided into the mass stage, the abscess stage and the late ulcer stage.. The pathology biopsy histology examination has the diagnosis significance for this disease. In the treatment, according to our department Jiang Zhaojun famous veteran doctors of TCM, granulomatous mastitis is zoned for Yin Syndrome, the basic pathogenesis of deficiency of both qi and Yin and hyperactivity of fire due to yin deficiency Wang. In the course of treatment, should always follow the principle of Supplementing Qi and nourishing Yin, and according to three different pathogenesis, determine the principle of different treatment. According to the clinical stage, the treatment of the disease in the treatment of the disease with the effect of the disease and the recurrence rate of the reduction has certain advantages. The key to the treatment is to control the inflammation and confine the lesions.. The main operation mode and the scope of the excision is to avoid the recurrence of the premise, in addition to complete removal of the lesion, but also to balance the breast shape. In addition, attention should also be paid to the original cause of the disease and symptomatic treatment. Because the disease has the pathological features of the center of the breast, and the pathological features of the lesions, it should be closely followed after treatment and prevent recurrence.