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梨状肌综合征非手术治疗研究进展

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梨状肌综合征(PS)好发于中年以上患者,本病因梨状肌受牵拉后变性损伤、坐骨神经在梨状肌处狭窄,引起此部位神经及血管受压,进而导致患者腰臀部及下肢后外侧放射性疼痛。该病在临床上经常被忽视,并且缺乏PS好发人群方面的研究数据。临床上治疗PS的方法层出不穷,其中手术治疗费用较高、风险较大,保守治疗主要包括针灸、推拿、药物、针刀、物理疗法等,逐渐受到人们的青睐。每种方法各有优点,在临床中多采用联合治疗的方式。该病复发率较高,因此患者后期需坚持功能锻炼以巩固疗效。目前临床上的PS病例越来越多,本文分析近年来有关非手术治疗PS的相关文献,并对该领域的治疗手段及临床疗效进行系统总结,以期为该病的治疗提供指导。
Research progress on non-surgical treatment of piriformis syndrome
Piriform syndrome (PS) mostly occurs in middle-aged and above patients. The cause of this disease is degeneration and injury of the piriformis muscle after traction,and stenosis of the sciatic nerve at the piriformis muscle,which causes compression of nerves and blood vessels in this area,leading to radiative pain in the lower back,buttocks,and posterior lateral lower limbs of patients. This disease is often overlooked in clinical practice,and there is a lack of data research on the high-risk population for this disease. In clinical practice,there are many methods to treat piriformis syndrome,and the surgical treatment is expensive and risky,while conservative treatment mainly includes acupuncture and moxibustion,massage,medicine,acupotomy,physiotherapy,and so on,and is gradually favored by people. Each method has its own advantages,and in clinical practice,combination therapy is mostly used. The recurrence rate of the disease is high,so patients need to adhere to the functional exercises in the later stage to consolidate the efficacy of the treatment. At present,there are increasing reports of cases of PS in clinical practice. This article analyzes the relevant literature about non-surgical treatment of PS in recent years,and systematically summarizes the therapeutic means and clinical efficacy in this field,in order to provide guidance for the treatment of this disease.

Bi syndromePiriformis syndromeConservative treatmentReview

刘玉欢、吕佳、李寒露、段长伟、李松明

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长春中医药大学附属第三临床医院针灸推拿中心,吉林长春 130000

痹症 梨状肌综合征 保守治疗 综述

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(20)