Wetzig N R
University of Queensland Department of Surgery, Princess Alexandra Hospital, Brisbane, Australia.
Aust N Z J Surg. 1994 May;64(5):329-31. doi: 10.1111/j.1445-2197.1994.tb02221.x.
Mastalgia is a common but often poorly understood condition with little Australian data available on the subject. Details are presented of 170 patients who have attended a specific mastalgia clinic at the Princess Alexandra Hospital, Brisbane, Queensland, over a 3 year period. The aims and management protocol of the clinic are outlined. The mastalgia sufferer in this study had an average age of 42 years and 87% were multiparous. Cyclical pain occurred in 59% as determined by a daily pain record chart. Unilateral pain occurred in 38%. Lack of previous breast feeding and low levels of regular physical exercise were identified as two significant factors in the history of those attending the clinic. The responses to treatments are outlined. Response rates of 18 and 26% to two commonly used 'natural products', Vitamin B6 and Evening Primrose Oil, respectively, are considered little better than placebo effect. A complete response was achieved in 67% of women who took low dose danazol with minimal side effects. The overall response rate to all treatments was 65% with a mean follow up of 15.5 months for those women who continued to attend the clinic. For women with mastalgia, a systematic approach can achieve relief of pain.
乳腺疼痛是一种常见但往往未被充分理解的病症，澳大利亚关于该主题的数据很少。本文介绍了昆士兰州布里斯班亚历山德拉公主医院一家特定乳腺疼痛诊所3年内接诊的170例患者的详细情况。概述了该诊所的目标和管理方案。本研究中的乳腺疼痛患者平均年龄为42岁，87%为经产妇。根据每日疼痛记录图表，59%的患者出现周期性疼痛。38%的患者出现单侧疼痛。未进行过母乳喂养和缺乏规律体育锻炼被确定为前来该诊所就诊患者病史中的两个重要因素。文中概述了对各种治疗方法的反应。两种常用“天然产品”维生素B6和月见草油的有效率分别为18%和26%，被认为仅略优于安慰剂效应。67%服用低剂量达那唑的女性获得了完全缓解，且副作用极小。所有治疗方法的总体有效率为65%，对继续在该诊所就诊的女性平均随访15.5个月。对于乳腺疼痛女性，采用系统的方法可以缓解疼痛。
