Observation of curative of Yanghe decoction combined with sculptural excision on mass -type granulomatous mastitis
YUAN Jiang-shan,CHENG Zi-ye,WANG Bei-bei
Abstract:
Objective To compare the clinical effect of granulomatous mastitis (GM) treated by modified Yanghe decoction combined with carving resection or traditional segmental extended resection. Methods 134 GM patients with Yang deficiency and cold coagulation syndrome from September 2021 to September 2023 in the First Affiliated Hospital of Henan University of Chinese Medicine were analyzed retrospectively. According to the different clinical operation methods, the patients were divided into observation group (modified Yanghe decoction +carving resection) and control group (modified Yanghe decoction +traditional segmental extended resection), 67 cases in each group. The changes of breast mass diameter and traditional Chinese medicine (TCM)syndrome scores of the patients in the two groups before and after the treatment were compared. The wound healing status, recurrence rate and recovery rate were compared at the end of the follow-up period of 6 months after the operation, and the recovered patients were scored by breast shape score and breast sensitivity score. Results The diameter of breast mass and the scores of TCM syndrome were improved between the observation group and the control group (P<0.05); There was no statistical difference in the wound healing status, healing rate and recurrence rate between the two groups(P>0.05); The observation group was better than the control group in breast shape satisfaction, breast shape score and breast sensitivity score (P<0.05). Conclusion Preoperative application of modified Yanghe decoction can localize inflammatory mass,improve TCM syndromes in mass stage, and create conditions for operation. modified Yanghe decoction combined with carving resection can better preserve the breast shape and maintain breast sensitivity of GM patients with Yang deficiency and cold coagulation syndrome in mass stage.
