中华中医药杂志（原中国医药学报）2023年3月第38卷第3期CJTCMP,March2023,Vol.38,No.3·1159+·标准与规范·中西医结合临床诊疗乳腺增生专家共识世界中医药学会联合会乳腺病专业委员会刘胜2，王怡2，吴春宇2，陈佳静('上海中医药大学研究生院，上海201203；2上海中医药大学附属龙华医院中西医结合乳腺科，上海200032）摘要：乳腺增生是乳腺疾病中发病率最高的良性疾病，以青中年女性群体为主。目前治疗该疾病手段众多，中医药及西药在缓解症状和体征方面均起到了一定作用，但尚缺乏中西医结合诊疗的共识。世界中医药学会联合会乳腺病专业委员会对该疾病的病名进行了统一，并梳理了疾病的诊断标准。在以往中西医药物治疗的基础上对手术介入的时间进行了规范，并推荐了相应的辅助治疗。本共识首次增加了主客观疗效评价标准。最终经过3轮专家投票，形成中西医结合临床诊疗乳腺增生专家共识。关键词：乳腺增生；专家共识；诊断：中西医结合治疗；评价体系基金资助：上海市2020年度“科技创新行动计划”(No.2☑21900300)Expert consensus on clinical diagnosis and treatment of breast hyperplasia withintegrated traditional Chinese and Western medicineBreast Disease Professional Committee of World Federation of Chinese MedicineLIU Sheng',WANG Yi2,WU Chun-yu',CHEN Jia-jing?('Graduate School of Shanghai University of Traditional Chinese Medicine,Shanghai 201203,ChinaDepartment of Breast ofIntegrated Traditional Chinese and Western Medicine,Longhua Hospital Shanghai University ofTraditional Chinese Medicine,Shanghai 200032,ChinaAbstract:Breast hyperplasia is a benign disease with the highest incidence of breast diseases,mainly in young andmiddle-aged women.However,there are many treatment methods for this disease.Integrative Chinese and Western medicinehave played a certain role in alleviating symptoms,but there is still lack of consensus on this.The Breast Diseases ProfessionalCommittee of World Federation of Chinese Medicine has unified the name of the disease and sorted out the diagnostic criteria ofthe disease.On the basis of traditional Chinese and Western medicine treatment,the time of surgical intervention was standardized.and the corresponding adjuvant treatment was recommended.This consensus adds subjective and objective efficacy evaluationcriteria for the first time.Finally,after three rounds of expert voting.an expert consensus on the clinical diagnosis and treatment ofbreast hyperplasia with integrated traditional Chinese and Westem medicine was formed.Key words:Breast hyperplasia;Expert consensus;Diagnosis;Integrated traditional Chinese and Western medicinetreatment:Evaluation systemFunding:Science and Technology Commission of Shanghai Municipality-Science and Technology Innovation ActionPlan in2020(Na.20Z21900300)乳腺增生发病率占所有乳腺疾病的70%~80%，并且有逐徽、江苏、浙江、江西、黑龙江、河南7个省份的中西医专家、学渐升高的趋势，该疾病影响女性的身体和心理健康，此病又有者40余人，分别于2021年4月、8月及10月在上海市及浙江省湖州一定的恶变倾向-，故正确诊断及治疗该病显得尤为重要。但市对乳腺增生的规范诊疗进行了3次讨论，初步达成以下共识。目前尚缺乏中西医结合诊断及治疗、评价的专家共识，加之随中西医命名着诊疗技术及中西医学的发展，需要对以往的共识进行更新。乳腺增生被认为是临床上最常见的乳腺增生性病变啊，本世界中医药学会联合会乳腺病专业委员会组织来自上海、安质上是由于乳腺小叶和间质不同程度地增生或复旧不全所致通信作者：刘胜，上海市徐汇区宛平南路725号上海中医药大学附属龙华医院中西医结合乳腺科，邮编：200032，电话：021-64385700E-mail:Ishtem@163.com
