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Updated: May 31, 2025

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Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
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7. 7. 7. 这是一个很好的例子. 宫侧面疼痛:退行性变化和鞭相关疾病
M D Hellinga1, M van Eerd2, M P Stojanovic3,4,5
1Department of Anesthesiology and Pain Management, Leiden University Medical Center, Leiden, The Netherlands.
Pain practice : the official journal of World Institute of Pain
|January 23, 2025
概括
部面关节疼痛是使用患者病史,体检和诊断块来诊断的. 像运动这样的保守治疗是第一线的,射频治疗为慢性疼痛提供长期缓解.
科学领域:
- 疼痛医学 医学 疼痛医学
- 干预性疼痛管理 干预性疼痛管理
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 宫侧面关节疼痛很普遍,源于退行性疾病或鞭相关疾病 (WAD).
- 准确的诊断和有效的治疗对于管理这种常见的疼痛状况至关重要.
研究的目的:
- 审查关于诊断和治疗部面关节疼痛的当前文献.
- 强调干预性治疗技术来管理宫侧面疼痛.
主要方法:
- 在PubMed,Cochrane和Embase数据库中进行了全面的文献搜索.
- 检索和总结了有关部面关节疼痛和WAD诊断和治疗的相关研究.
主要成果:
- 诊断依赖于患者病史,体检和诊断医学分支块;成像没有诊断价值,但有助于程序规划.
- 保守的治疗方法,包括运动和分级活动,是第一线的;药理选择缺乏慢性疼痛的证据.
- 中间分支的射频治疗提供长期疼痛缓解 (>6个月),不建议使用肉毒素,类固醇注射和手术.
结论:
- 宫侧面疼痛诊断涉及病史,体检,和诊断块的内介质分支.
- 保守的管理,特别是运动疗法,是主要的治疗方法.
- 射频治疗是持续性疼痛不响应保守措施的推选择,经常产生显著的缓解.
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