前宫疼痛综合征:定义患者群体和治疗方法
Jakob L Fischer1, Emily A Montgomery2, Michael I Orestes1,2
1Otolaryngology, Walter Reed National Military Medical Center, Bethesda, USA.
Cureus
|July 12, 2023
概括
前宫疼痛综合征 (ACPSs) 是复杂的和不太了解. 使用局部麻醉剂和类固醇的触发点注射显示出有效性,手术作为持续症状的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 神经外科 神经外科
背景情况:
- 前宫疼痛综合征 (ACPSs) 包含各种复杂的诊断.
- 这些情况在现有文献中没有得到很好的描述.
- 了解患者的特征和治疗反应至关重要.
研究的目的:
- 为了评估患有ACPSs的患者.
- 描述患者的人口统计,干预措施和治疗结果.
- 评估不同治疗方法的疗效.
主要方法:
- 追溯观察性研究设计.
- 包括7年来为ACPS治疗的患者.
- 审查临床记录和电话采访,以评估治疗反应.
主要成果:
- 其中27名患者包括:上喉神经痛 (SLN),上甲状腺角综合征 (STCS) 和下骨综合征 (HBS).
- 常见的症状:部/喉疼痛 (100%),球体感觉 (74.1%),消化不良 (74.1%).
- 在24名患者的触发点注射 (布皮瓦卡因/德克萨米他):52.2%的完整反应,26.1%的永久性反应.
- 7名患者的手术:85.7%的部分改善.
结论:
- ACPS代表的是复杂的,定义不良的诊断.
- 使用局部麻醉剂和类固醇的触发点注射是有效的.
- 外科干预为不完整或反复出现的病例提供了替代方案.
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