深层振荡治疗乳腺纤维囊性疾病的疗效。随机对照临床试验

S. Hernández, M. Fernandez, Y. Iturralde, A. S. Fernández
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引用次数: 4

摘要

简介:纤维囊性乳腺疾病是女性在性成熟阶段最普遍的疾病。深振荡(DO)疗法已被用于乳腺癌手术患者作为一种特殊形式的手工淋巴引流。方法:对401例诊断为纤维囊性乳腺疾病的女性进行了实验性、前瞻性病例对照研究。随机选取样本,分为三组,研究组和对照组。结果:三种治疗方法均能减轻疼痛。这在研究组中具有统计学意义。超声检查显示其纤维形态占优。治疗结束后,观察到研究组的纤维化消退。这些女性使用胸罩的方式不正确。结论:三种治疗方法均能减轻疼痛。在研究组中,这种减少在统计学上是显著的。通过使用诊断超声观察深层振荡的影响,可以验证结缔组织中从表层到深层的共振振动的大小。最常见的超声检查结果是纤维化。深度振荡治疗产生组织松弛,适度的血管收缩作用,有利于局部水肿重吸收和纤维化减少。一个可能影响乳房疼痛的因素是不正确使用胸罩。大多数被调查的女性都没有正确使用胸罩。
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The Effect of Deep Oscillation Therapy in Fibrocystic Breast Disease. A Randomized Controlled Clinical Trial
Introduction: Fibrocystic breast disease is the most widespread disorder in women during their phase of sexual maturity. Deep oscillation (DO) therapy has been used on patients who have undergone an operation for breast cancer as a special form of manual lymphatic drainage. Method: Experimental, prospective case-control studies were conducted in 401 women diagnosed with fibrocystic breast disease. The sample was selected at random and was divided into three groups, a study group and two control groups. Results: Pain was reduced in the three therapies applied. This was statistically significant in the study group. The sonography study presented a predominance of its fibrous form. Upon completion of the treatment a resolution of the fibrosis was observed in the study group. The women were using their bra in an incorrect manner. Conclusions: Pain was reduced in the three therapies applied. In the study group this reduction was statistically significant. It is possible to verify the magnitude of the resonant vibration in the connective tissue from surface to deep layers by viewing the effect of the deep oscillations through the use of diagnostic ultrasound. The most frequent sonographic finding was fibrosis. Deep oscillation therapy produces a tissue-relaxing, moderate vasoconstriction effect, favours local oedema reabsorption and fibrosis reduction. A factor that may affect breast pain is incorrect bra use. The majority of women studied were using their bra incorrectly.
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