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[腿痛]

[Leg pain].

作者信息

Machetanz J, Unger L, Stelzner C, Wollina U, Schellong S

机构信息

Klinik für Neurologie, Krankenhaus Dresden-Neustadt, Städtisches Klinikum, Akademisches Lehrkrankenhaus der TU Dresden, Industriestr. 40, 01129, Dresden, Deutschland,

出版信息

Internist (Berl). 2013 Nov;54(11):1304-13. doi: 10.1007/s00108-013-3340-6.

DOI:10.1007/s00108-013-3340-6
PMID:24129889
Abstract

Leg pain is a very common complaint in clinical medicine which deserves thorough investigation. All tissues of the lower leg are able to cause pain, each of them by different pathomechanisms. In the current review, all the different types of tissue, i.e., spine, neural plexus, peripheral nerves, muscles, and vasculature, are systematically covered. The different disease entities are explained in terms of pathophysiology and clinical picture. Diagnostic measures and pathways are sketched, as well as therapeutic approaches in some instances. Diseases of the bone and joint are omitted since they are the subject of orthopedic surgery.

摘要

腿痛是临床医学中非常常见的主诉,值得进行全面调查。小腿的所有组织都可能导致疼痛,每种组织的致病机制各不相同。在本综述中,系统涵盖了所有不同类型的组织,即脊柱、神经丛、周围神经、肌肉和血管系统。从病理生理学和临床表现方面解释了不同的疾病实体。概述了诊断措施和途径,以及某些情况下的治疗方法。由于骨与关节疾病属于骨科手术范畴,故予以省略。

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1
[Leg pain].[腿痛]
Internist (Berl). 2013 Nov;54(11):1304-13. doi: 10.1007/s00108-013-3340-6.
2
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本文引用的文献

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Statin-associated autoimmune myopathy and anti-HMGCR autoantibodies.他汀类药物相关性自身免疫性肌病与抗 HMGCR 自身抗体。
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Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests.腰椎管狭窄症的诊断:诊断试验准确性的更新系统评价。
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MRI accurately detects chronic exertional compartment syndrome: a validation study.MRI 准确检测慢性运动性间隔综合征:一项验证研究。
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Painful legs and moving toes syndrome: a 76-patient case series.疼痛性腿部和活动脚趾综合征:76例病例系列
Arch Neurol. 2012 Aug;69(8):1032-8. doi: 10.1001/archneurol.2012.161.
6
2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative.2012 年多肌痛的临时性分类标准:欧洲抗风湿病联盟/美国风湿病学会合作倡议。
Ann Rheum Dis. 2012 Apr;71(4):484-92. doi: 10.1136/annrheumdis-2011-200329.
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Algorithms for the diagnosis and treatment of restless legs syndrome in primary care.原发性护理中不宁腿综合征的诊断和治疗算法。
BMC Neurol. 2011 Feb 27;11:28. doi: 10.1186/1471-2377-11-28.
8
Entrapment neuropathies III: lower limb.卡压性神经病III:下肢
Semin Musculoskelet Radiol. 2010 Nov;14(5):501-11. doi: 10.1055/s-0030-1268070. Epub 2010 Nov 11.
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[Drug treatment of CRPS].
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[Differential diagnosis of CRPS from a dermatologist's viewpoint].[从皮肤科医生角度看复杂性区域疼痛综合征的鉴别诊断]
Handchir Mikrochir Plast Chir. 2010 Feb;42(1):15-8. doi: 10.1055/s-0030-1247502. Epub 2010 Mar 4.