マスタルジアの臨床症状 マスタルジアの臨床症状
Lancet (London, England)
|September 25, 1976
まとめ
この研究では,乳房の痛み (乳房痛) を6つの異なるグループに分類し,ホルモンの影響やその他の特定の原因を特定しました. これらのサブグループを理解することは,効果的な乳房痛みの治療の鍵です.
科学分野:
- 乳腺の健康について
- クリニカル・メディシン 臨床医学
- 疼痛管理 疼痛管理
背景:
- 乳房の痛み (乳房痛) は,乳房クリニックに提示される一般的な症状です.
- 以前の研究では,マスタルジアの病因に重大な心理的要因が示唆されていた.
- 治療的研究のために,マスタルギアの明確な分類システムが必要である.
研究 の 目的:
- 臨床的症候群を定義するために,マスタルジアの患者を将来的に研究する.
- 異なるマスタルジアの症状に寄与するエチオロギー的要因を解明する.
- マスタルジアの患者を治療研究のために均質なサブグループに分類する.
主な方法:
- 主要症状として乳房の痛みを呈する232人の患者を対象とした前向きな研究.
- 軽度のマスタルギアまたは癌の安心を求めている患者の除外.
- 臨床的,放射線学的,病理学的特徴に基づいて分類する.乳外原因を除外した.
主要な成果:
- 6つの異なるマスタルジアサブグループが異なる病因学的根拠で定義されました.
- 定義されたグループには,周期性マスタルジア (ホルモン),ドクトエクタジア,ティエツ症候群,トラウマ,硬化性アデノシス,がんが含まれていました.
- 患者の7%だけが未分類であり,原因は不明でした.
結論:
- マスタルジアは特定のサブグループに分類され,その原因を理解するのに役立ちます.
- 周期性マスタルジアはホルモンに起因すると考えられています.
- 心理的要因は,マスタルジアの病因学で先ほど示唆されたよりも,それほど重要ではないようです.
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