中医体质类型与彩超对乳腺增生诊断分类的相关性研究

目的：探讨中医体质类型与彩超对乳腺增生的诊断分类的相关性。方法：运用中医体质量表调查345名初步诊断疑似乳腺增生的患者，并进行彩超检查，结合彩超声像表现分类，将诊断为乳腺增生的249例患者纳入病例组，其余96例彩超检查无异常的患者归为对照组；而病例组又根据具体的彩超声像异常表现进行分类，就中医体质类型调查结果与彩超对乳腺增生的诊断结果和分类进行相关性统计分析。结果：比较对照组与病例组的中医体质类型，差异有统计学意义（P〈0．01），对照组多见平和质（占53．1％），病例组多见偏颇体质（占93．6％）。气郁质和气虚质是乳腺增生的危险信号，血瘀质和痰湿质相比其他体质更易患囊性增生或腺瘤样增生。结论：中医体质类型与乳腺增生的彩超诊断分类相关，可为乳腺增生患者实施个体化中医治疗提供客观依据。

Study on Correlation between Traditional Chinese Medicine Physical Classification and Diagnostic Classification of Mammary Gland Hyperplasia through Colour Doppler Ultrasound

Objective： To study the correlation between Traditional Chinese Medicine physical classification and diagnostic classification of mammary gland hyperplasia through colour doppler ultrasound. Methods： The 345 patients with initial diagnosis of suspected breast were investigated by scales of Chinese Medicine constitution, and examined with color doppler ultrasound. Those 249 patients who were diagnosed as mammary gland hyperplasia were included in the case group, and the 96 cases that showed no abnormality were included in the control group, according to the color doppler ultrasound. And the correlation between TCM physical classification and diagnostic classification of mammary gland hyperplasia through colour doppler ultra-sound was analyzed, according to the abnormal of color doppler ultrasound of patients in case group. Results： There were sig-nificant difference between case and control groups （P〈0.01）. Normal type was usual in control group （53.1%） and pathological constitution was usual in case group （93.6%）. The Qi-stagnation was the risk factors of mammary gland hyperplasia. The phlegm-dampness and blood stasis constitution were the risk factors of cystic hyperplasia or adenomatoid hyperplasia. Conclu-sion： There were some correlations between the Traditional Chinese Medicine physical classification and diagnostic classification of mammary gland hyperplasia through colour doppler ultrasound.