乳房疼痛的综述:原因,成像建议和治疗方法
Rebecca Sivarajah1, Janelle Welkie1,2, Julie Mack1
1Penn State Health-Hershey Medical Center, Department of Radiology, Hershey, PA.
Journal of breast imaging
|March 1, 2024
概括
大多数女性都会经历乳房疼痛,这是一个常见但未被充分研究的症状. 了解周期性和非周期性乳腺疼痛指导适当的诊断和治疗,改善患者的生活质量.
科学领域:
- 乳腺健康 乳腺健康
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
背景情况:
- 乳房疼痛 (乳腺疼痛) 影响超过三分之二的女性,往往导致医疗咨询.
- 报告不足,研究不足,需要更清楚地了解其原因和管理.
- 原因包括荷尔蒙变化 (周期性),慢性疼痛,感染和术后问题 (非周期性),影响包括跨性别者在内的多种患者群体.
研究的目的:
- 审查乳腺疼痛的原因,诊断成像和管理策略.
- 强调适当的成像利用和一步一步的治疗方法.
- 突出乳房疼痛对生活质量的影响以及多学科方法的重要性.
主要方法:
- 关于乳腺疼痛病因,诊断成像指南和治疗选择的文献综述.
- 分析成像的适当性和医疗保健资源利用情况.
- 讨论保守和药理管理策略.
主要成果:
- 周期性乳腺疼痛不需要成像;非周期性焦点疼痛需要超声波 (女性<40) 或乳房/超声波 (女性≥40).
- 大多数乳腺疼痛自发地消失;持续的疼痛需要一步一步的管理方法.
- 局部NSAID是二线治疗,在专家护理下的严重,耐药病例有第三线选择.
结论:
- 乳腺疼痛管理应以病因学为指导,采用一步一步的方法.
- 适当的成像协议可以减少不必要的医疗保健费用.
- 多学科的方法对于有效地管理乳腺疼痛和改善患者的生活质量至关重要.
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