Purpose To analyze the different ultrasonic classifications,clinical and pathological characteristics of cystic neutrophilic granulomatous mastitis (CNGM). Materials and Methods A retrospective analysis was conducted on the ultrasonic images,clinical manifestations,and pathological characteristics of 155 CNGM lesions in 131 female patients pathologically diagnosed from January 2020 to September 2024 in Beijing Hospital of Traditional Chinese Medicine,Capital Medical University. Results According to the ultrasonic classification of 155 lesions,there were 48 ductal lesions,48 solid mass lesions,28 diffuse lesions and 31 abscess lesions. Based on the clinical course staging,there were 108 lesions in the acute stage,31 in the subacute stage and 16 in the prolonged stage. According to the lesion scope classification,there were 109 localized lesions and 46 diffuse lesions. Gram staining was negative in 95 lesions and positive in 60 lesions (38.71％). Among the positive lesions,there were 11 positive bacilli,23 negative bacilli and 26 others. There was a statistical correlation between the ultrasonic classification and the lesion scope (x2=14.267,P=0.003). The ductal and mass-type lesions in the ultrasonic classification were mainly localized,while the ratio of diffuse lesion scope increased in the diffuse and abscess types. Among the 60 Gram-positive cases,the ductal type had the highest proportion in the ultrasonic classification (20),followed by the mass-type (17). Conclusion The ductal and mass type in the ultrasonic classification of CNGM lesions are more common in the clinical acute stage,which is closely related to the lesion scope. The Gram staining positivity rate of CNGM is 38.71％,and the bacterial infection rate and detection rate are relatively high in the acute stage. Ultrasonic classification provide an important reference for the judgment of CNGM staging and lesion range.

Purpose To analyze the different ultrasonic classifications,clinical and pathological characteristics of cystic neutrophilic granulomatous mastitis (CNGM). Materials and Methods A retrospective analysis was conducted on the ultrasonic images,clinical manifestations,and pathological characteristics of 155 CNGM lesions in 131 female patients pathologically diagnosed from January 2020 to September 2024 in Beijing Hospital of Traditional Chinese Medicine,Capital Medical University. Results According to the ultrasonic classification of 155 lesions,there were 48 ductal lesions,48 solid mass lesions,28 diffuse lesions and 31 abscess lesions. Based on the clinical course staging,there were 108 lesions in the acute stage,31 in the subacute stage and 16 in the prolonged stage. According to the lesion scope classification,there were 109 localized lesions and 46 diffuse lesions. Gram staining was negative in 95 lesions and positive in 60 lesions (38.71％). Among the positive lesions,there were 11 positive bacilli,23 negative bacilli and 26 others. There was a statistical correlation between the ultrasonic classification and the lesion scope (x2=14.267,P=0.003). The ductal and mass-type lesions in the ultrasonic classification were mainly localized,while the ratio of diffuse lesion scope increased in the diffuse and abscess types. Among the 60 Gram-positive cases,the ductal type had the highest proportion in the ultrasonic classification (20),followed by the mass-type (17). Conclusion The ductal and mass type in the ultrasonic classification of CNGM lesions are more common in the clinical acute stage,which is closely related to the lesion scope. The Gram staining positivity rate of CNGM is 38.71％,and the bacterial infection rate and detection rate are relatively high in the acute stage. Ultrasonic classification provide an important reference for the judgment of CNGM staging and lesion range.

Objective To explore the application effect of preoperative interview by collective multidisciplinary education model in patients with breast cancer.Methods 126 patients with breast cancer, having undergone radical surgery from February 2015 to February. 2016, were selected and divided, by random number table method, into observation group and control group, each with 63 cases. Traditional mode of preoperative interview was conducted to patients in the control group, while preoperative interview by collective multidisciplinary education model was conducted to patients in the observation group. Anxiety, depression, stress response and satisfaction toward nursing between patients in the two groups were compared before and after intervention.Results After the interview, scores of anxiety and depression of patients in the observation group were (11.2±1.5) and (15.9±0.8) points, while the scores in the control group were (12.5±1.3) and (22.4±1.4) (t=2.032,5.007;P<0.01). Relief of anxiety and depression in the observation group was significantly better than that in the control group (P<0.05). Inside the operating room, before anesthesia was done, heart rate and systolic pressure of patients in the observation group were (71.5±3.9) time/min and (127.3±10.8) mmHg, all lower than that in the control group, which were (81.2±4.7) time/min and (145.2±12.6) mmHg (t=2.975 and 3.382,P<0.05). Satisfaction toward nursing in the observation group was 96.8%, higher than that in the control group, 82.5% (χ2=6.892,P<0.01).Conclusions Preoperative interview by collective multidisciplinary education model to patients with breast cancer can reduce their anxiety and depression, relieve stress response and improve satisfaction towards nursing.

OBJECTIVETo evaluate the clinical efficacy on primary varicose veins treated with He's fire needle therapy.

METHODSFifty patients of primary varicose veins were randomized into an observation group (25 cases) and a control group (25 cases). In the observation group, He's fire needle therapy was applied for 8 weeks. The fire needling was done on the sites of varicose veins till the bleeding stopped automatically. Additionally, acupuncture with filiform needle was applied to Heyang (BL 55), Chengjin (BL 56), Chengshan (BL 57) and Kunlun (BL 60) on the affected side. In the control group, no intervention was given. The follow-up visit was conducted regularly and since the 8th week, the same treatment as the observation group was provided in the control group. The revised venous clinical severity score (RVCSS) was used for the evaluation of the primary outcomes. The methods for the evaluation of the secondary efficacy outcomes included the venous insufficiency epidemiologic and economic study of quality of life questionnaire scale (VEINES-QOL/sym questionnaire), the venous insufficiency epidemiologic and economic study of symptom score (VEINES-Sym score), the venous insufficiency epidemiologic and economic study of quality of life scale (VEINES-QOL score) and the Homburg varicose vein severity score (HVVSS). The evaluation was conducted at the baseline, at the end of the 4th week and the 8th week separately. The follow-up evaluation was done at the end of the 16th week in the observation group.

RESULTSDuring the study, 5 cases were dropped out, accounting for 10%. RVCSS score in the observation group was lower than that in the control group at the end of the 4th and 8th weeks separately (both P < 0.05). VEINES-QOL score and HVVSS score in the observation group were higher than those in the control group at the end of the 4th and 8th weeks separately (P < 0.05, P < 0.01). VEINES-Sym score in the observation group was increased as compared with that of the control group at the end of the 4th and 8th weeks, but the difference was significant at the end of the 8th week (P < 0.01). HVVSS score at the end of the 8th and 16th weeks was reduced as compared with that at the end of the 4th week in the observation group (both P < 0.05).

CONCLUSIONHE's fire needle therapy is effective on primary varicose veins. It significantly reduces the severity of disease, the severity of symptoms and the attack frequency of symptoms so that the quality of life is improved in the patients. Additionally, the good long-term efficacy is maintained in 8 weeks after treatment. When the duration of treatment is increased from 4 weeks to 8 weeks, HE's fire needle therapy remarkably improves the efficacy for reducing the symptom severity.

Acupuncture Therapy ; instrumentation ; methods ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Quality of Life ; Treatment Outcome ; Varicose Veins ; therapy

Objective:To study the correlation between the thickness of psoriasis skin and TCM syndromes,and to find an uninjurious and effective way to determine TCM syndromes by high-frequency ultrasound.Methods:Eighty-seven patients were divided into three groups:blood-heat syndrome group,blood-dryness syndrome group and blood-stasis syndrome group.The patients' epidermal and dermal thickness of targeted psoriasis skin and surrounding normal area was measured by high-frequency ultrasonic apparatus.Results:The thickness of epidermal and dermal of psoriasis skin was thicker than that of surrounding skin,and it was more obviouse of derma.The dermal thickness indexes of blood-stasis patients was the biggest in the three groups(P