Barki J, Blanc P, Michel J, Pageaux G P, Hachemane-Aourag S, Carabalona J P, Larrey D, Michel H
Service d'Hépato-Gastroentérologie, Hôpital Saint-Eloi, Montpellier.
Presse Med. 1996 Jun 15;25(21):973-6.
To analyse clinical expression and outcome of painful rib syndrome in a large series of 100 cases.
From 1978 to 1993, 100 consecutive patients with chronic anterior chest pain or supramesocolic abdominal pain of unknown origin underwent complete physical examination, laboratory tests and complementary explorations as required.
Among the first 100 patients the sex ratio was 3.34 and mean age 50.6 years (21-80). Chronic pain had persisted for an average 41.2 months (15 days-30 years), predominantly on the right (81%) and exceptionally bilaterally (1%). No evidence of a cause could be identified from laboratory tests or complementary explorations. A past history of direct trauma was found in 71 patients and indirect trauma in 21. Seventy-three patients were given 1% lidocaine infiltrations (20 to 40 ml) including 14 who received 2 or 3 infiltrations. Six patients underwent surgical resection of a luxated cartilage with curative effect in 5.
The diagnosis of painful rib syndrome is based solely on the presence of pain upon applying pressure to the anteroinferior border of the rib cage and is related to often neglected or forgotten trauma.
分析100例大量病例中疼痛性肋骨综合征的临床表现及预后。
1978年至1993年，100例连续的不明原因慢性前胸疼痛或结肠上区腹痛患者根据需要接受了全面的体格检查、实验室检查及辅助检查。
首批100例患者中，男女比例为3.34，平均年龄50.6岁（21 - 80岁）。慢性疼痛平均持续41.2个月（15天至30年），主要在右侧（81%），双侧受累者罕见（1%）。实验室检查及辅助检查均未发现病因。71例患者有直接外伤史，21例有间接外伤史。73例患者接受了1%利多卡因浸润（20至40毫升），其中14例接受了2次或3次浸润。6例患者接受了脱位软骨切除术，5例有治愈效果。
疼痛性肋骨综合征的诊断仅基于对肋笼前下缘施压时出现疼痛，且与常被忽视或遗忘的创伤有关。
