脊椎外腰部疼痛:一个范围审查
Anna Kunow1, Julia Freyer Martins Pereira2, Jean-François Chenot2
1Department of General Practice, University Medicine Greifswald, 17475, Fleischmannstraße, Greifswald, Germany. kunow.anna@web.de.
BMC musculoskeletal disorders
|May 7, 2024
概括
腰部疼痛 (LBP) 的脊椎外原因经常被忽视. 这篇综述强调了罕见但严重的疾病,强调了临床医生需要考虑非典型症状才能进行准确的诊断.
科学领域:
- 医学研究 医学研究
- 临床诊断 临床诊断 临床诊断
- 疼痛管理 疼痛管理
背景情况:
- 腰部疼痛 (LBP) 是一种常见的初级保健投诉.
- 目前的LBP分类不包括像腹腔大动脉动脉瘤这样的脊外病因.
- 缺乏对这些罕见原因的系统调查.
研究的目的:
- 系统地审查额外脊椎导致LBP的原因.
- 为了识别潜在的额外脊椎疾病呈现为LBP.
- 评估当前的指导方针和诊断挑战.
主要方法:
- 在文献中进行系统的搜索 (MEDLINE,Embase,Cochrane).
- 包括2001-2020年的研究,其中LBP是主要症状.
- 手动搜索,以补充数据库的发现.
主要成果:
- 确定了265个出版物,加上197个来自手工搜索.
- 大多数研究都是从专业环境中获得的案例报告/系列.
- 脊椎外原因包括妇科,泌尿,血管,全身和胃肠道疾病.
- 指导方针显示,在解决额外脊椎LBP方面存在不一致.
结论:
- 没有关于额外脊椎LBP原因的先前系统审查.
- 缺乏流行病学数据和标准化的协议阻碍了理解.
- 不典型的症状,如发烧或腹痛,可能表明脊椎外原因.
- 临床医生应该怀疑异常呈现的脊椎外病因.
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