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慢性尾骨痛与尾骨切除术:一例病例报告及文献综述

Chronic Coccydynia and Coccygectomy: A Case Report and Review of the Literature.

作者信息

Algain Abdullah, Karami Moyassar, Kinsara Abdulaziz, Qoqandi Mahmood A, Alsulimany Hani

机构信息

Orthopedics and Spine Surgery, King Abdulaziz Medical City-Jeddah, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.

Orthopedics and Spine Surgery, King Abdulaziz Medical City-Jeddah, King Abdullah International Medical Research Center, Jeddah, SAU.

出版信息

Cureus. 2024 Oct 13;16(10):e71400. doi: 10.7759/cureus.71400. eCollection 2024 Oct.

DOI:10.7759/cureus.71400
PMID:39539901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11558019/
Abstract

Coccydynia is persistent pain in the sacrococcygeal region caused by pressure on the coccyx lasting more than three months. It was treated conservatively and may mandate surgical management in the form of coccygectomy if the patient fails conservative treatment. Coccygectomy had been abandoned for a long time due to high complications. Recently, new techniques have been developed to overcome these complications. In this article, we present a case of a 41-year-old male with chronic coccydynia who did not respond to non-operative measures, and surgical management involving coccygectomy was performed with specific intraoperative and postoperative protocols. Further studies are needed to attract more researchers to investigate coccygectomy further.

摘要

尾骨痛是由尾骨受压引起的骶尾区域持续性疼痛,持续时间超过三个月。该病采用保守治疗,如果患者保守治疗失败,可能需要进行尾骨切除术等手术治疗。由于并发症发生率高,尾骨切除术曾被长期弃用。最近,已开发出新的技术来克服这些并发症。在本文中,我们介绍了一例41岁慢性尾骨痛男性患者,其对非手术治疗无反应,遂采用特定的术中及术后方案进行了尾骨切除手术治疗。需要进一步开展研究,以吸引更多研究者对尾骨切除术进行深入探究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/e71528b7f0c1/cureus-0016-00000071400-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/d32ac151b559/cureus-0016-00000071400-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/6ee06ad66100/cureus-0016-00000071400-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/09f2b224e267/cureus-0016-00000071400-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/e71528b7f0c1/cureus-0016-00000071400-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/d32ac151b559/cureus-0016-00000071400-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/6ee06ad66100/cureus-0016-00000071400-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/09f2b224e267/cureus-0016-00000071400-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b68/11558019/e71528b7f0c1/cureus-0016-00000071400-i04.jpg

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Coccyx Pain尾骨疼痛

本文引用的文献

1
Clinical Outcomes of Coccygectomy for Coccydynia: A Single Institution Series With Mean 5-Year Follow-Up.尾骨切除术治疗尾骨痛的临床结果:一项平均5年随访的单机构研究系列。
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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 Sep-Oct;40(5):1504. doi: 10.1148/rg.2020209006.
3
Outcomes of Coccygectomy Using the "Z" Plasty Technique of Wound Closure.采用“Z”形皮瓣缝合技术行尾骨切除术的疗效
Global Spine J. 2019 Dec;9(8):802-806. doi: 10.1177/2192568219831963. Epub 2019 Mar 3.
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Coccydynia - could age, trauma and body mass index be independent prognostic factors for outcomes of intervention?尾骨痛——年龄、创伤和体重指数能否成为干预结果的独立预后因素?
Ann R Coll Surg Engl. 2018 Jan;100(1):12-15. doi: 10.1308/rcsann.2017.0089. Epub 2017 Sep 15.
5
Coccygodynia review: coccygectomy case series.尾骨痛综述:尾骨切除病例系列
Eur J Orthop Surg Traumatol. 2017 Oct;27(7):961-965. doi: 10.1007/s00590-017-1947-3. Epub 2017 Apr 6.
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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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Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain.尾骨痛:尾骨疼痛的解剖学、病因学及治疗概述
Ochsner J. 2014 Spring;14(1):84-7.
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Coccygectomy with or without periosteal resection.经皮骨膜下尾骨切除术。
Int Orthop. 2010 Apr;34(4):537-41. doi: 10.1007/s00264-009-0805-2. Epub 2009 May 27.