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尾骨痛——关于病因、放射学特征及治疗选择的综合综述

Coccydynia-A comprehensive review on etiology, radiological features and management options.

作者信息

Garg Bhavuk, Ahuja Kaustubh

机构信息

Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, India.

出版信息

J Clin Orthop Trauma. 2021 Jan;12(1):123-129. doi: 10.1016/j.jcot.2020.09.025. Epub 2020 Sep 24.

Abstract

Coccydynia is a disabling condition characterized by pain in the coccyx region of the spine. The first description of the disease was given in as early as 1859. Since then a number of theories have been proposed by various researchers to explain the pathogenesis of the disease. Treatment options for coccydynia include ergonomic adaptation, manual therapy, injections and surgery. Despite being identified as a disease as early as 18th century, several uncertainties with respect to the origin of pain, predisposing factors and treatment outcomes of a wide range of treatment options persist till date. The current narrative review presents various aspects of the disease including pathoanatomy, clinical presentation, radiological features and management options for the disease.

摘要

尾骨痛是一种致残性疾病,其特征为脊柱尾骨区域疼痛。早在1859年就有了对该疾病的首次描述。从那时起,众多研究人员提出了一些理论来解释该疾病的发病机制。尾骨痛的治疗选择包括符合人体工程学的调整、手法治疗、注射和手术。尽管早在18世纪就已将其确定为一种疾病,但关于疼痛的起源、诱发因素以及多种治疗选择的治疗结果,至今仍存在一些不确定性。本叙述性综述介绍了该疾病的各个方面,包括病理解剖、临床表现、放射学特征以及该疾病的管理选择。

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本文引用的文献

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Imaging Coccygeal Trauma and Coccydynia.尾骨创伤与尾骨痛的影像学检查
Radiographics. 2020 Jul-Aug;40(4):1090-1106. doi: 10.1148/rg.2020190132.
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Imaging of Malignant Primitive Tumors of the Spine.脊柱恶性原始肿瘤的影像学检查
J Belg Soc Radiol. 2018 Sep 6;102(1):56. doi: 10.5334/jbsr.1410.
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Osteopathic manipulative treatment in chronic coccydynia: A case series.慢性尾骨痛的整骨手法治疗:病例系列
J Bodyw Mov Ther. 2018 Apr;22(2):261-265. doi: 10.1016/j.jbmt.2017.06.010. Epub 2017 Jun 19.
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Coccydynia Treated with Dorsal Root Ganglion Stimulation.采用背根神经节刺激术治疗尾骨痛。
Case Rep Anesthesiol. 2018 Apr 29;2018:5832401. doi: 10.1155/2018/5832401. eCollection 2018.
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Coccygodynia and coccygectomy.尾骨痛与尾骨切除术
Korean J Spine. 2012 Dec;9(4):326-33. doi: 10.14245/kjs.2012.9.4.326. Epub 2012 Dec 31.

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