RESUMO
Background: Plasma cell mastitis (PCM) is a complex breast disease in the clinic. Currently, there are no unified diagnostic criteria for the disease and no standard treatment methods. The effects of hormone, Conventional Chinese medicine and other treatments are uncertain, with long treatment duration and notable side effects. Surgery is the preferred treatment, but the recurrence rate after conventional surgery is very high, which may be related to depression of the nipple. This study aimed to evaluate the efficacy of a novel corrective procedure in patients with cellular mastitis and depressed nipples. Methods: Patients with PCM who received surgical treatment in the Third Medical Center of PLA General Hospital from January 1996 to January 2018 were retrospectively analyzed. According to the presence or absence of nipple depression before surgery, the patients were divided into the nipple depression group and the non-nipple depression group. In the nipple depression group, patients were subdivided into a novel corrective surgery group ("one" suture or half pocket suture) and a conventional corrective surgery group (oil yarn traction valgus correction of nipple depression). Demographic, clinical, therapeutic, and postoperative relapse data were collected and analyzed. Results: Compared with the patients in the non-nipple depression group, patients in the nipple depression group had a significantly higher recurrence risk after surgery (HR = 2.129 95% CI: 1.110-4.083, p = 0.023). Patients who underwent novel corrective surgery had a significantly lower recurrence risk than those who underwent conventional corrective surgery (HR = 0.363 95% CI: 0.150-0.880, p = 0.025). In addition, the novel corrective surgery significantly reduced the postoperative recurrence risk (HR = 0.088 95% CI: 0.009-0.886, p = 0.037). Conclusion: How to correct nipple depression is a critical factor for postoperative recurrence of PCM, and this novel corrective surgery for nipple depression can effectively reduce the postoperative recurrence rate in patients with nipple depression.
RESUMO
OBJECTIVE： To investigate the current situation of faculty development research in TCM colleges and universities， to analyze the hot spots and deficiencies in the research， and provide reference for the colleagues to engage in related research and carry out corresponding work. METHODS： With “faculty” as the title or keyword and “TCM university” or “TCM college” as author institution， the literatures about faculty development researches published by the TCM colleges and universities were retrieved from CNKI， VIP and Wanfang database during database establishment to Nov. 19th， 2018. Note Express 3.0 software was used to extract the parameters such as publish year， source journals， publish institution， the authors， cited frequency， fund assistance and keywords. Bibliometric statistics and analysis was performed by using SPSS 19.0 software. RESUITS： Totally 1 183 valid literatures were obtained， mainly for periodical literatures （1 144 literatures）. The total number of literatures was on the rise， and reached to peak value of 118 in 2016. 1 144 literatures were published in 408 journals. The top 6 authors with high production were Liu Jingli （6 literatures）， Liang Xinyue， Liu Na， Liu Yanping， Xu Nanyang， Yan Xiaotian （5 literatures respectively）； the top one institution was Nanjing University of TCM （89 literatures）. 653 （55.20％） literatures have cited records， most of them （457 literatures， 38.63％） were cited 1-3 times， and the average cited frequency was 2.15 times； the ratio of funded papers of state ministries and commissions were less than 3％； 7 098 keywords were extracted and high-frequency keywords were 31， involving “faculty” and “young teachers”. CONCLUSIONS： The research on faculty development in TCM colleges and universities has become increasingly active， but the core research author has not yet formed. The research still lacks of sustainability and comprehensiveness， and the research quality needs to be further improved.
