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梨状肌综合征:解剖变异、诊断技术及治疗选择的影响

Piriformis syndrome: implications of anatomical variations, diagnostic techniques, and treatment options.

作者信息

Cassidy Lindsey, Walters Andrew, Bubb Kathleen, Shoja Mohammadali M, Tubbs R Shane, Loukas Marios

机构信息

Department of Anatomical Sciences, St. George's University School of Medicine, St. George's, Grenada, West Indies.

出版信息

Surg Radiol Anat. 2012 Aug;34(6):479-86. doi: 10.1007/s00276-012-0940-0. Epub 2012 Feb 12.

DOI:10.1007/s00276-012-0940-0
PMID:22327640
Abstract

Details of piriformis syndrome, including the proper diagnosis and most effective form of treatment, continue to be controversial. While the cause, diagnosis, and treatment of piriformis syndrome remain elusive, many studies have been conducted to investigate newly developed diagnostic techniques as well as various treatment options for piriformis-induced sciatica. Despite the quantity of literature, few studies have demonstrated statistically significant results that support one form of treatment over another. Thus, despite the evidence supporting the newer treatment methodologies for piriformis syndrome, research should continue. It is important not only to evaluate treatment outcomes based on associated pain relief, but also to investigate the functional and anatomical return that patients experience from these studied treatments in order to fully explore the most effective form of therapy for piriformis syndrome.

摘要

梨状肌综合征的细节,包括正确的诊断和最有效的治疗方式,仍然存在争议。虽然梨状肌综合征的病因、诊断和治疗仍然不明确,但已经进行了许多研究来调查新开发的诊断技术以及针对梨状肌引起的坐骨神经痛的各种治疗选择。尽管有大量文献,但很少有研究显示出具有统计学意义的结果来支持一种治疗方式优于另一种治疗方式。因此,尽管有证据支持梨状肌综合征的新治疗方法,但研究仍应继续。不仅要根据相关疼痛缓解情况评估治疗效果,还要调查患者从这些研究治疗中获得的功能和解剖学恢复情况,以便充分探索治疗梨状肌综合征最有效的治疗方式。

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Botulinum toxin injections for low-back pain and sciatica.肉毒杆菌毒素注射治疗腰痛和坐骨神经痛。
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