皮里福米斯综合征是什么?
Julian K Lo1, Lawrence R Robinson1
1Division of Physical Medicine and Rehabilitation, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Handbook of clinical neurology
|May 2, 2024
概括
皮里福米斯综合征涉及皮里福米斯肌肉对坐骨神经的压缩,导致部疼痛. 由于不清楚的标准和缺乏明确的测试,诊断仍然具有挑战性,治疗通常涉及保守的康复.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 皮里福米斯综合征的特征是,皮里福米斯肌在深部空间的坐骨神经被皮里福米斯肌压缩.
- 它的患病率各不相同,估计在5-6%的腰部,部和腿部疼痛病例中.
- 解剖学变异,比如坐骨神经穿透皮形神经,发生在健康个体中,使诊断复杂化.
研究的目的:
- 审查目前对皮里福米斯综合征的理解,包括其患病率,症状,诊断挑战和治疗选择.
主要方法:
- 对 piriformis 综合征研究的文献综述,重点关注诊断标准,临床症状,电诊断研究,成像和治疗结果.
- 对报告的症状,诊断方法和治疗干预措施进行分析.
主要成果:
- 常见的症状包括部疼痛,敏感性和坐着加重的疼痛.
- 诊断标准和临床症状缺乏明确的敏感性和特异性,没有普遍接受的确认测试.
- 电子诊断研究有助于排除其他疾病;超声波可能显示肌肉变厚,但需要进一步研究.
- 核磁共振和神经图显示出潜力,但需要更多的数据进行标准化.
- 保守的管理是最初的方法,注射和手术提供不同的成功.
结论:
- 皮里福米斯综合征的诊断往往是基于肌筋关节疼痛而不是焦点神经病变.
- 目前的诊断工具不足以进行最终确认.
- 保守的治疗是标准的,注射和手术作为潜在的辅助.
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