Trollegaard A M, Aarby N S, Hellberg S
Department of Orthopaedic Surgery Holbaek Hospital, Smedelundsgade 60, 4300 Holbaek, Denmark.
J Bone Joint Surg Br. 2010 Feb;92(2):242-5. doi: 10.1302/0301-620X.92B2.23030.
Between 1993 and 2008, 41 patients underwent total coccygectomy for coccydynia which had failed to respond to six months of conservative management. Of these, 40 patients were available for clinical review and 39 completed a questionnaire giving their evaluation of the effect of the operation. Excellent or good results were obtained in 33 of the 41 patients, comprising 18 of the 21 patients with coccydynia due to trauma, five of the eight patients with symptoms following childbirth and ten of 12 idiopathic onset. In eight patients the results were moderate or poor, although none described worse pain after the operation. The only post-operative complication was superficial wound infection which occurred in five patients and which settled fully with antibiotic treatment. One patient required re-operation for excision of the distal cornua of the sacrum. Total coccygectomy offered satisfactory relief of pain in the majority of patients regardless of the cause of their symptoms.
1993年至2008年间，41例因尾骨痛接受全尾骨切除术的患者，经6个月保守治疗无效。其中，40例患者可供临床复查，39例完成了问卷调查，对手术效果进行了评估。41例患者中有33例获得了优或良的结果，包括21例因创伤导致尾骨痛的患者中的18例、8例产后有症状的患者中的5例以及12例特发性发病患者中的10例。8例患者的结果为中度或差，尽管无人描述术后疼痛加重。唯一的术后并发症是浅表伤口感染，5例患者发生，经抗生素治疗后完全痊愈。1例患者因骶骨远端角状突切除需要再次手术。无论症状原因如何，全尾骨切除术在大多数患者中都能提供令人满意的疼痛缓解。
