Harney Donal, Patijn Jacob
Department of Anesthesiology and Pain Management, University Hospital Maastricht, Maastricht, The Netherlands.
Pain Med. 2007 Nov-Dec;8(8):669-77. doi: 10.1111/j.1526-4637.2006.00227.x.
Meralgia paresthetica (MP), coined from the Greek words meros (thigh and algos), meaning pain, is a neurological disorder characterized by a localized area of paresthesia and numbness on the anterolateral aspect of the thigh. The incidence of MP is more common than often reported in the literature. The etiology of MP includes mechanical factors such as obesity, pregnancy, and other conditions associated with increased intrabdominal pressure, surgery of the spine, and pelvic osteotomy. A coherent history and pertinent physical examination is essential in making the diagnosis; however, red flags such as tumor and lumbar disk herniations must be recognized and appropriately treated. While the diagnosis of MP is essentially a clinical diagnosis, sensory nerve conduction velocity studies are a useful adjunctive diagnostic tool. The management of MP includes treating the underlying cause (if any) and conservative management. Surgery should only be adopted when all nonoperative therapies have failed to manage the condition in an effective manner.
股外侧皮神经痛（MP），由希腊语单词meros（大腿）和algos（疼痛）组成，是一种神经系统疾病，其特征为大腿前外侧局部感觉异常和麻木。MP的发病率比文献中通常报道的更为常见。MP的病因包括机械性因素，如肥胖、怀孕以及其他与腹内压升高相关的情况、脊柱手术和骨盆截骨术。连贯的病史和相关的体格检查对于做出诊断至关重要；然而，必须识别并适当处理肿瘤和腰椎间盘突出等警示信号。虽然MP的诊断本质上是临床诊断，但感觉神经传导速度研究是一种有用的辅助诊断工具。MP的治疗包括治疗潜在病因（如有）和保守治疗。只有在所有非手术治疗均未能有效控制病情时才应采用手术治疗。
