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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.

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/d32ac151b559/cureus-0016-00000071400-i01.jpg

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