Superficial Parts Ultrasound
The value of ultrasonographic assessment in the breast dysplasia treated with the traditional Chinese medicine
Zhu Qing, Xia Chunxia, Zhu Qiang, Chang Qing, Fan Yingyi
Published 2015-12-01
Cite as Chin J Med Ultrasound(Electronic Edition), 2015,12(12): 957-961. DOI: 10.3877/cma.j.issn.1672-6448.2015.12.012
Abstract
ObjectiveTo investigate the value of high-frequency ultrasound in assessment of the therapeutic efficacy of traditional Chinese medicine in patients with breast dysplasia using.
MethodsFrom March to September in 2014, 50 patients with breast dysplasia in the Third Affiliated Hospital of Beijing University of Chinese Medicine were enrolled in the study. In addition, they were treated with Xiaozheng pills. Before and after treatment, these patients were examined using ultrasound. The thickness of the breast gland layer in each patient was measured. When the dilated ducts lactiferous, cysts, hypoechoic areas, or nodules of the breast were detected, the diameter or volume was measured or calculated. A grading system of the breast dysplasia was used to evaluate the disease degree, and the quadrants of the breast dysplasia were counted. The thickness of the breast gland layer, the volume of cysts and nodules, the diameter of hypoechoic areas and the dilated ducts lactiferous, the number of the breast dysplasia were compared with the paired t-test. The grading of the breast dysplasia was compared with rank sum test.
ResultsThere were significant decreases in the thickness of the grand layer, the diameters of the ducts lactiferous and the hypoechoic area after treatments [(15.92±4.73) mm vs (13.02±4.20) mm, t=2.240, P<0.01; (2.26±0.58) mm vs (1.71±0.47) mm, t=5.202, P<0.01; (21.14±5.57) mm vs (17.80±4.63) mm, t=5.529, P<0.01]. However, there were no significant differences in the volume of cysts and nodules. The grading of the breast dysplasia showed statistical difference (z=-5.667, P<0.01), and the number of the breast dysplasia quadrants was reduced markedly (5.38±1.85 vs 3.28±1.97, t=7.566, P<0.01).
ConclusionsUltrasound can be an effective method in assessment of patients with breast dysplasia treated with the traditional Chinese medicine. The assessment can be based on some signs, including the thickness of the grand layer, the diameters of the ducts lactiferous, and the diameters of the hypoechoic area. The grading system and breast quadrants counting in these patients may be added as supplementary criteria to make a complete therapeutic evaluation.
Key words:
Ultrasonography; Breast diseases; Medicine, traditional Chinese; Treatment outcomes
Contributor Information
Zhu Qing
Department of Ultrasonography, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China; Department of Ultrasonography, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
Xia Chunxia
Department of Ultrasonography, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
Zhu Qiang
Department of Ultrasonography, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
Chang Qing
Department of Ultrasonography, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
Fan Yingyi
Special Department of Breast, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China