尾痛症病因病机及诊治的研究进展

Review of Pathomechanism of Caudalgia and its Diagnosis and Treatment

尾痛症是多种因素导致,以尾骨区域顽固性疼痛为特征的疾病。久坐、坐位转站位或排便可能导致疼痛加重,对患者的身心健康和生活质量造成严重影响。尾痛症治疗以保守治疗为主,包括内服及外用药物治疗、物理因子治疗、中医理疗与神经阻滞治疗等,对于大多数尾痛症患者有较好的症状缓解状作用,且操作相对简便、费用低廉。射频手术治疗及背根神经节刺激对于椎间盘或神经源性尾痛症能消除病根,起到较好的治疗效果。本文归纳分析近年来中西医治疗尾痛症的方法特点及临床应用情况,旨在为尾痛症的诊治提供参考。

Caudalgia is a disease characterized by intractable pain in the coccygeal region caused by various factors.Sitting for a long time,switching from sitting to standing or defecation may lead to aggravation of the pain,which has a serious impact on the patient's physical and mental health and quality of life.Treatment of caudalgia is based on conservative therapy,including internal and external medication,physical therapy,TCM physiotherapy and nerve block therapy,which is relatively simple and inexpensive for most patients with caudalgia to relieve symptoms.Radiofrequency Ablation and dorsal root ganglion stimulation can help patients with intervertebral disc or neurogenic caudalgia.This paper summarizes and analyzes the characteristics and clinical application of western and TCM therapies for caudalgia,aiming to provide reference for the diagnosis and treatment of caudalgia.