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1、端坐位及仰卧位穿刺治疗乳腺囊性增生症对比探究【摘要】目的观察比较端坐位和仰卧位穿刺治疗乳腺囊性增生症的效果。方法治疗组患者采取端坐位穿刺不需要在B超引导下操作,医生直接按乳腺肿物进针抽液及细胞组织作细胞学检查及治疗。对照组患者取仰卧位在B超引导下进针抽液及细胞组织作细胞学检查。结果治疗组150例,治愈92例,好转49例,未愈9例,有效率94%;对照组50例,治愈25例,好转23例,未愈2例,有效率96%;两组穿刺成功率、有效率无显著性差异(u=1.2344P>0.05)。结论采用端坐位无B超引导下
2、穿刺治疗乳腺囊性增生症,为患者开辟了一种新的简易微创、安全有效、方便实用的诊疗方法。【关键词】乳腺囊性增生症;端坐位;卧位;穿刺ContrastiveStudiesofpuncturetreatmentofcystichyperplasiaofthebreastonsittingpositionandsupinepositionZHOUJia-ping,ANJia-jia,LINGHong-liang.BeihaiPeople’sHospital,Beihai536000,China【Abstra
3、ct】ObjectiveToobservationandcomparisontheeffectofpuncturetreatmentofCystichyperplasiaofthebreastonsitting8positionandSupineposition.MethodsTreatmentgroupreceivedpuncturetreatmentwithouttheGuidanceofB-modeultrasonographyonsittingposition,TheDoctordirec
4、tpuncturedforcytologicalexaminationandtreatment.ThecontrolgroupreceivedpuncturetreatmentundertheguidanceofB-modeUltrasonographyonsupineposition.ResultsTreatmentgroupconsistsof150cases,92caseswerecured,49caseswereimprovedand9casesuncured,Theoverallresp
5、onseratewas94%.Thecontrolgroupconsistsof50cases,25caseswerecured,23caseswereImprovedand2casesuncured,Theoverallresponseratewas96%.StatisticallyRidil(u=1.2344,P>0.05)demonstratedthattherewasnosignificantdifferenceintheSuccessratebetweenthetreatmentgrou
6、pandthecontrolgroup.ConclusionThepuncturetreatmentwithouttheguidanceofB-modeultrasonographyonsittingpositionisanewminimally-invasive、safe、effectiveandsimplediagnosetreatment.【Keywords】Cystichyperplasiaofthebreast;Sittingposition;Supineposition;Punctur
7、e8基金项目:广西北海市2009年科研项目(项目编号:北科项字第200902003)作者单位:536000广西北海市人民医院自2005~2009年以来,我院乳腺病专科采用了端坐位穿刺治疗乳腺囊性增生症,取得满意的疗效,现报告如下。1资料与方法1.1一般资料均为乳腺病门诊患者,女性,治疗组150例,未婚8例、已婚未育20例、已婚已育122例;年龄20岁以下2例,21~30岁30例,31~40岁64例,41~50岁44例,50岁以上9例;83岁1例。病程最长10年,最短1~2d。囊肿最大4.5~3.8
8、cm,最小0.5~0.8cm。对照组50例,未婚4例、已婚未育10例、已婚已育36例;年龄20岁以下1例,20~30岁9例,31~40岁30例,41~50岁10例,病程最长10年,最短1~2d。囊肿最大5.5~3.8cm,最小1.5~1.2cm。1.2诊断参考标准参照《现代中医乳房病学》[1]:①发病年龄多在30~50岁间;②病史短,囊肿常为多发性,亦可单发;③乳内单发肿物多为椭圆形或圆形肿块,边界清楚,囊性感明显,活动度好。如为多发肿物,多为结节状或颗粒状态,边界欠清;④B超检查
