[目的]总结顾氏外科三代人治疗浆细胞性乳腺炎的经验。[方法]通过老师讲述,收集整理相关资料和病案,总结顾氏外科三代人治疗浆细胞性乳腺炎的传承与发展。根据现状,分析目前该病在治疗中存在的问题。[结果]国内由顾伯华先生首先发现并报道浆细胞性乳腺炎。顾氏外科历经三代人,逐渐摸索探讨出一套治疗浆细胞性乳腺炎的方案方法,从最初的以外治为主,到后来的内外合治,直至现在以内治为主。临床研究发现,内外合治法的治愈率高、治疗时间短,但疤痕较大,而内治为主即清消法在较长的治疗周期中与内外合治的治愈率相同,但疤痕较小,花费较少。目前对该病病因的探索及对该病的诊断、规范化治疗仍然问题重重。[结论]经过三代人的发展与完善,顾氏外科为浆细胞性乳腺炎的临床辨证治疗提供了较为完整的思路。
[Objective] Summarize the experience of diagnosis and treatment of plasma cell mastitis by Gu's surgery department. [Method] By collecting medical records, from the teachers, pathogenesis, to summarize the inheritance and development of diagnosis and treatment of plasma cell mastitis by Gu 's surgery department three generations, according to the present situation, analysis of the problems existing in the treatment of the disease. [Results] The disease was first discovered and reported by Dr.Gu Bohua in the domestic.Gu's surgery department gradually gropes for a set of solution method in treatment of plasma cell mastitis after three generations from the treatment based on the external therapies in the initial, to later, internal and external therapies, at present based on the internal therapies. Clinical studies have found that the internal and external therapies have advantages of high cure rate, short treatment time, but the scar is larger, while the internal therapies in the long treatment cycle achieve the same cure rate, but the scar is smaller, less expensive. But the exploration of the cause of the disease, diagnosis and standardized treatment is still fraught with problems. [Conclusion]Developing by three generations, Gu 's surgery department provides a more complete mentality and pragmatic value in treating plasma cell mastitis.