| Objective: Professor Song Aili’s clinical experience for many years suggested minimally invasive scraping method in the treatment of granulomatous lobular mastitis.In this study,the clinical efficacy of minimally invasive scraping in the treatment of granulomatous lobular mastitis in the abscess stage was observed,so as to guide clinical practice.Methods: From June 2017 to January 2019,the inpatient and outpatient treatment of granulomatous lobular mastitis(abscess period)by Professor Song Aili,Department of Mammary Thyroid Surgery,Affiliated Hospital of Shandong University of Traditional Chinese Medicine was collected.76 cases were included according to the case selection criteria,39 cases in the test group and 37 cases in the control group.The test group used minimally invasive scraping therapy under the treatment of traditional Chinese medicine.The control group was treated surgically.Through the treatment statistics,the patient’s efficacy,recurrence rate,breast shape,treatment time and patient’s satisfaction with the treatment were evaluated,and the data were statistically analyzed using SPSS22.0,and the conclusion was drawn.Results: 1.In this study,the age of patients was concentrated at 26-35 years(75%),and 92.10% of patients had a history of birth or abortion;89.47% of the patients had a history of breastfeeding,and 74.99% of the patients had a weaning time less than 3 years;60.52% of patients had left breast disease;93.42% of patients had multiple quadrants;74.96% of the patients had masses in the range of 2-8 cm;28.94% of the patients had nipple discharge;22.36% of patients had a nipple depression.2.73.68% of the patients in both groups were accompanied by elevation of whiteblood cells.76.31% of patients had elevated ESR,19 cases(25.00%)had elevated prolactin,and 6 cases(7.89%)had pituitary microadenomas.Color Doppler ultrasound showed: 93.42% color Doppler ultrasound showed mixed mass;59.21% had dilatation of the catheter;Axillary lymph nodes were present in 82.89%.3.The patients in the two groups had no statistical significance in personal history,morbidity,laboratory examination,imaging examination and color ultrasound examination(P > 0.05),which were comparable.4.After treatment,the cure rate of the test group(69.23%)was lower than that of the control group(81.08%).After statistical test,P > 0.05 had no statistical significance.The treatment time of the test group was relatively long,and the treatment time was concentrated at 10 ～ 30 days(76.92%),and the number of patients with >30 days was12.82%.Treatment time in the control group was concentrated between 10 and 20 days(78.38%).Through inspection,P < 0.05,it indicates that there is statistical difference in treatment time between the two groups.89.74% of the patients in the test group had excellent breast shape;Only 19.44% in control group,P <0.05 after inspection,the difference of breast shape index between the two groups had statistical significance.5.The follow-up results showed that the recurrence rate in the test group(51.28%)was higher than that in the control group(32.43%),P > 0.05.There was no statistical significance between the two groups.Compared with breast shape,29 patients(74.36%)in the test group had excellent breast shape;Only 5 cases(13.51%)in control group had excellent breast shape,P <0.05,and there was significant difference in breast shape indicators between the two groups.Patient satisfaction was investigated and 35(89.74%)were very satisfied in the test group and 30(81.08%)in the control group.After inspection,P > 0.05,there was no statistically significant difference between the two groups.Conclusion: The cure rate of minimally invasive scraping method is lower,the treatment time is longer and the recurrence rate is higher,but it can ensure the shape of breast,to reduce the physiological and psychological stress of patients,and become one of the clinical reference treatment methods. |
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