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[肌筋膜疼痛综合征——发病率高且常被误诊]

[Myofascial pain syndrome--frequent occurrence and often misdiagnosed].

作者信息

Pongratz D E, Späth M

机构信息

Friedrich-Baur-Institut bei der Medizinischen Klinik, Klinikum Innenstadt, Universität München.

出版信息

Fortschr Med. 1998 Sep 30;116(27):24-9.

PMID:9816749
Abstract

Myofascial pain syndrome (MPS) is a very common localized--sometimes also polytopic--painful musculoskeletal condition associated with trigger points, for which, however, diagnostic criteria established in well-designed studies are still lacking. These two facts form the basis for differentiating between MPS and the fibromyalgia syndrome. The difference between trigger points (MPS) and tender points (fibromyalgia) is of central importance--not merely in a linguistic sense. A knowledge of the signs and symptoms typically associated with a trigger point often obviates the need for time-consuming and expensive technical diagnostic measures. The assumption that many cases of unspecific complaints affecting the musculoskeletal system may be ascribed to MPS makes clear the scope for the saving of costs.

摘要

肌筋膜疼痛综合征(MPS)是一种非常常见的局限性——有时也会是多部位的——与触发点相关的疼痛性肌肉骨骼疾病,然而,目前仍缺乏在精心设计的研究中确立的诊断标准。这两个事实构成了区分MPS和纤维肌痛综合征的基础。触发点(MPS)和压痛点(纤维肌痛)之间的区别至关重要——不仅仅在语言学意义上。了解通常与触发点相关的体征和症状往往无需进行耗时且昂贵的技术诊断措施。认为许多影响肌肉骨骼系统的非特异性主诉病例可能归因于MPS的假设明确了节省成本的空间。

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