[尾神经过敏] 这是一种神经过敏.
1Chirurgien gynécologue et de la douleur, centre L'Avancée, clinique Axium, Aix-en-Provence, et centre de la douleur, hôpital Saint-Joseph, Paris, France.
La Revue du praticien
|June 23, 2025
概括
Pudendal神经疼痛的诊断是临床的,专注于神经病痛的疼痛模式. 手术减压为精心挑选的尾神经陷患者提供了显著的疼痛缓解和愈合.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 手术解剖学手术解剖学
背景情况:
- 尾神经疼痛 (NP) 呈现于尾神经分布中的神经病痛.
- 诊断主要是临床的,依赖于疼痛特征和位置.
- 尾神经陷 (PNE) 是一个常见的原因,需要遵守特定的诊断标准.
研究的目的:
- 概述了尾神经疼痛的诊断方法.
- 为了回顾尾神经病变的各种原因.
- 介绍当前对尾神经陷的治疗建议.
主要方法:
- 基于神经病痛和地形的临床诊断.
- 通过盆腔MRI排除瘤或解剖学异常.
- 诊断麻醉阻断测试用于尾神经的陷.
主要成果:
- 尾神经被困需要满足五个南特标准,并对麻醉剂注射做出反应.
- 其他原因包括拉伸,创伤,代谢,传染性,有毒性和肌肌关节因素.
- 在选定的患者中,PNE手术显示70-80%的疼痛改善和50-60%的愈合率.
结论:
- 临床评估是诊断尾神经疼痛的关键,MRI用于排除其他病理.
- 多模式治疗是PNE的第一线治疗方法.
- 手术解压神经溶解在阳性阻断试验后对耐火PNE有效.
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