皮里福米斯综合征:病例报告的系统审查
Giovanni Monteleone1, Giorgio Stevanato2, Maurizio Alimandi3
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. giovanni.monteleone@uniroma2.it.
在212名患者中,Piriformis综合征 (PS) 诊断和治疗被研究. 虽然保守治疗有助于41.1%,但58.9%需要手术,当诊断缺乏仪器支持时,失败率更高.
科学领域:
- 医学科学 医学科学 医学科学
- 整形外科 整形外科 整形外科
- 神经学 神经学
背景情况:
- 皮里形肌综合征 (PS) 和皮里形肌坐骨 (PMs) 是导致患者显著不适和功能限制的疾病.
- 了解病史,诊断途径,管理策略和治疗结果对于改善患者护理至关重要.
研究的目的:
- 系统地审查和分析Piriformis综合征 (PS) 和Piriformis肌肉 sciatica (PMs) 的已发表病例.
- 调查诊断的准确性,治疗的有效性,以及PS/PMs的常见原因.
主要方法:
- 按照PRISMA的指导方针进行了系统的文献审查,搜索PubMed的文章从1980-2024.
- 包括病例报告和病例系列,详细介绍患者的人口统计,诊断,治疗和PS或PMs的结果.
- 收集了212名患者的数据并进行了统计分析.
主要成果:
- 在212名患者中,38.2%患有创伤或与体育活动相关的肌肉肌肉 (PM) 压力,9.0%之前进行过腰椎手术失败.
- 盆腔内MRI在29.7%的患者中证实了PS/PM;50.5%的患者有临床诊断.
- 保守治疗成功率为41.1%,而58.9%的患者需要手术. 在缺乏仪器发现的诊断中,手术失败的风险是5.3倍.
结论:
- 盆腔内MRI是PS/PM的关键诊断工具,解剖变异和肌肉炎是常见的原因.
- 缺乏仪器确认的诊断与手术治疗失败的风险显著增加有关.
- 由于潜在的手术风险,在考虑怀疑PS的手术之前,应优先考虑非手术治疗.
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