骶髂关节错位的理论思考

Theoretical thinking on subluxation of sacroiliac joint

目的:回顾总结和分析骶髂关节错位的临床状况,为临床诊治提供依据。方法:对骶髂关节错位相关文献进行收集、整理、分析和总结。结果:①在病因方面,主要以外力作用、性别和年龄因素等为主。②在病理方面,主要有错位关节局部软组织损伤、错位关节周围无菌性炎症、水肿刺激和压迫神经、血管,以及骶髂关节滑膜嵌顿等相关机制。③在诊断方面,目前主要依据有无使骶髂关节错位的外伤史、症状、体征及X射线摄片检查,并排除具有相似表现的疾病后作出诊断。④存在问题主要有称呼较为混乱、诊断和疗效评价方面缺少客观指标等。结论:对骶髂关节错位的病因、病理、临床表现和诊治,中医有一套比较完整的体系,对该症的治疗手法有特色,但诊疗标准中缺少客观化的指标,需要进一步的完善。

AIM： The clinical situations of subluxation of sacroiliac joint were analyzed and overall retrospected in order to offer basis for clinical diagnosis and treatment. METHODS： The related documents on subluxation of sacroiliac joint were collected, arranged, analyzed and summarized. RESULTS： ①The chief etiopathogenisis included external force, gender and age. ②The pathological factors were concerned with the trauma of the local soft tissue around the subluxation joint, and the nerves and blood vessels were stimulated and compressed by the aseprtic inflammation and edema surrounding the subluxation joint, in addition, synovialinterposing in sacroiliac joint. ③The diagnosis of subluxation in sacroiliac joint was mainly based on related trauma history, symptoms, physical signs and the result of X-ray examination, and the diseases with similar manifestations was eliminated. ④The existing problems were located in complicated denominations and lack of objective index on diagnosis and the evaluation on therapeutic effect. CONCLUSION： For diagnosis and treatment, pathology, clinical manifestation and the cause of subluxation of sacroiliac joint, traditional Chinese medicine has a set of more complete system. For the treatment of subluxation of sacroiliac joint, the manipulation has characteristics. However, lacking objective index in the standard of diagnosis and treatment, it is necessary to carry out further