摘要
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。
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.
作者
刘玉欢
吕佳
李寒露
段长伟
李松明
LIU Yuhuan;LYU Jia;LI Hanlu;DUAN Changwei;LI Songming(Acupuncture and Moxibustion Massage Center,the Third Affiliated Hospital of Changchun University of Chinese Medicine,Jilin,Changchun 130000,China)
出处
《中国医药科学》
2024年第20期22-25,共4页
China Medicine And Pharmacy
基金
吉林省教育厅科学技术研究项目(JJKH20220867KJ)
吉林省卫生健康科技能力提升项目(2022LC078)。
关键词
痹症
梨状肌综合征
保守治疗
综述
Bi syndrome
Piriformis syndrome
Conservative treatment
Review
作者简介
通讯作者:李松明。
