梨状肌综合征的诊疗进展

Progress in the Diagnosis and Treatment of Piriformis Syndrome

梨状肌综合征(piriformis syndrome,PS)目前在临床较为常见,属于腰腿痛疾患。其病因与梨状肌及坐骨神经联系密切,其中包含多种二者存在的正常及异常位置关系。准确诊断梨状肌综合征需要根据临床症状及体征,但也离不开医学影像及相关技术以明确诊断。梨状肌综合征治疗以中医保守疗法为主,并可使用多种理筋方式。本病易反复且治疗周期长,后期需注重坚持功能锻炼。本文从病因、诊断思路、治疗方法等方面对梨状肌综合征展开论述,详细分析并做以总结,以期为临床提供参考和借鉴。

Piriformis syndrome is a common clinical disease,which belongs to lumbago and leg pain.Its etiology is closely related to piriformis and sciatic nerve,including many kinds of normal and abnormal position relations.Accurate diagnosis of piriformis syndrome needs to be based on clinical symptoms and signs,and it is also inseparable from medical imaging and related technologies to confirm the diagnosis.The treatment of piriformis syndrome is mainly based on the conservative treatment of traditional Chinese medicine,and a variety of tendon-regulation methods are used.This disease is easy to recur and the treatment cycle is long.In the later stage should pay attention to insisting on functional exercise.This article discussed piriformis syndrome from the above points,and made detailed analysis and summary,so as to provide clinical reference.