骶髂关节错位的诊断、治疗及研究进展
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摘要
背景:现今骶髂关节错位的发病率越来越高,复杂多样,因此治疗方式也是多种多样,同时也存在一定的误诊率。目的:综述骶髂关节错位国内外的治疗进展研究。方法:以"骶髂关节,骶髂关节错位,治疗,dislocation of sacroiliac joint,treatment"为检索词,检索了2006年至2018年6月PubMed、CNKI中国期刊全文数据库中收录的骶髂关节错位各类治疗方法及研究进展的相关文献,进行总结分析。结果与结论:(1)骶髂关节错位在临床是较为常见的,却容易被误诊,治疗方式多样,其中以手法整复为主的治疗方式在骶髂关节错位中有较好疗效;(2)康复锻炼也是较为重要的治疗;(3)通过对骶髂关节错位的发生机制、治疗方式进行综合性分析发现,应辨证采取适合的治疗方式,为以后的骶髂关节错位研究提供相关参考。
BACKGROUND: The incidence of sacroiliac joint dislocation has become high and complicated. As a result, the treatment methods are various. In the meantime, certain misdiagnosis is caused.OBJECTIVE: To summarize the treatment progress of sacroiliac joint dislocation at home and abroad.METHODS: PubMed and CNKI databases were retrieved with the keywords of "dislocation of sacroiliac joint, treatment" for the articles related to various treatment methods and research progresses of sacroiliac joint dislocation from 2006 to June 2018. Then a summary analysis was conducted.RESULTS AND CONCLUSION:(1) As a common clinical disease, the dislocation of sacroiliac joint is frequently misdiagnosed and the treatment methods are various. As a major treatment method, manual restitution can achieve good treatment effects for sacroiliac joint dislocation.(2) Additionally, rehabilitation exercise is an important treatment method.(3) By making a comprehensive description of the pathogenesis and treatment methods for sacroiliac joint dislocation, suitable treatment methods are discussed to provide reference for future research on sacroiliac joint dislocation.
BACKGROUND: The incidence of sacroiliac joint dislocation has become high and complicated. As a result, the treatment methods are various. In the meantime, certain misdiagnosis is caused.OBJECTIVE: To summarize the treatment progress of sacroiliac joint dislocation at home and abroad.METHODS: PubMed and CNKI databases were retrieved with the keywords of "dislocation of sacroiliac joint, treatment" for the articles related to various treatment methods and research progresses of sacroiliac joint dislocation from 2006 to June 2018. Then a summary analysis was conducted.RESULTS AND CONCLUSION:(1) As a common clinical disease, the dislocation of sacroiliac joint is frequently misdiagnosed and the treatment methods are various. As a major treatment method, manual restitution can achieve good treatment effects for sacroiliac joint dislocation.(2) Additionally, rehabilitation exercise is an important treatment method.(3) By making a comprehensive description of the pathogenesis and treatment methods for sacroiliac joint dislocation, suitable treatment methods are discussed to provide reference for future research on sacroiliac joint dislocation.
引文
[1]田量,尹继勇,梁哲瑞.关节整复手法治疗急性骶髂关节半脱位46例临床观察[J].实用中医内科杂志,2015,29(1):140-142.
[2]Oldreive WL.A classification of,and a critical review of the literature on,syndromes of the sacroiliac joint.J Man Man Ther.2013;6(1):24-30.
[3]Chang WH,Lew HL,Chen CPC.Ultrasound-guided sacroiliac joint injection technique.Am J Phys Med Rehabil.2013;92(3):278-279.
[4]Foley BS,Buschbacher RM.Sacroiliac joint pain:anatomy,biomechanics,diagnosis,and treatment.Am J Phys Med Rehabil.2006;85(12):997-1006.
[5]Rahl MD.Anatomy and Biomechanics//Surgery for the Painful,Dysfunctional Sacroiliac Joint.Springer International Publishing,2015:15-35.
[6]Vleeming A,Schuenke MD,Masi AT,et al.The sacroiliac joint:an overview of its anatomy,function and potential clinical implications.J Anat.2012;221(6):537-567.
[7]邹箭山,王晴.王友仁按动微调法治疗骶髂关节错位经验[J].中国中医药信息杂志,2018,25(12):110-111.
[8]洪流.齐鸿按动疗法治疗骶髂关节半脱位引发梨状肌疼痛经验[J].中国中医药信息杂志,2017,24(1):119-120.
[9]Cohen SP,Chen Y,Neufeld NJ.Sacroiliac joint pain:a comprehensive review of epidemiology,diagnosis and treatment.Exp Rev Neurother.2013;13(1):99-116.
[10]李森荣,谢曦.中医整脊复位手法治疗孕妇骶髂关节错位疗效观察[J].按摩与康复医学,2015,31(3):37-38.
[11]匡家毅,黎玉宣,何育风,等.解剖点斜刺治疗骶髂关节损伤:随机对照研究[J].中国针灸,2016,36(4):359-363.
[12]魏文广,陈剑俊,董成伟.针刺、整脊、功能锻炼综合治疗产后骶髂关节错缝症疗效观察[J].上海针灸杂志,2017,36(1):67-70.
[13]蔡少萍.温针灸治疗骶髂关节炎的效果分析[J].中国当代医药,2018,25(9):109-111.
[14]袁涛,金钰钧,兰鹏飞.矩阵针灸联合电温针治疗骶髂关节致密性骨炎42例[J].西部中医药,2017,30(6):59-61.
[15]阿力木江·马合木提.治疗256例第三腰椎横突综合征和骶髂关节半脱位的临床报告[J].新疆维吾尔医学专科学校学报,2017,27(1):22-25.
[16]杨永晖,方后山,耿凯,等.针刀治疗骶髂关节错缝源性下腰痛临床疗效观察[J].中医药临床杂志,2017,29(1):113-115.
[17]陶群,陆惠新.电针治疗骶髂关节错位疗效观察[J].上海针灸杂志,2006,(10):27-28.
[18]Yonglei LU,Zhaohui C,Lulu C,et al.Clinical observation on manipulation of tendon-bone-setting in the treatment of sacroiliac joint dislocation by immediate effects.Clin J Trad Chin Med.2016.
[19]王学习.推拿手法整复治疗骶髂关节错位107例[A].中华中医药学会推拿分会.中华中医药学会推拿分会第十四次推拿学术交流会论文汇编[C].中华中医药学会推拿分会:中华中医药学会,2013:2.
[20]姜洪凯.手法整复治疗骶髂关节错位的临床体会[J].世界最新医学信息文摘,2016,16(95):80.
[21]林勇.后伸压骶手法治疗骶髂关节紊乱症45例[J].中国实用医药,2016,11(6):131-132.
[22]姬明亮.手法复位为主治疗骶髂关节错位110例[J].河南中医,2012,32(7):898.
[23]王学昌,肖红恩,王西彬.三步复合手法治疗骶髂关节错缝132例[J].中国中医骨伤科杂志,2011,19(6):40-41.
[24]王红锦.骨盆按旋法治疗骶髂关节错位及耻骨联合分离的临床研究[J].中国卫生标准管理,2017,8(17):27-29.
[25]王平,张超,苏瑾.应用美式整脊床冲击手法治疗骶髂关节紊乱症30例[J].中国中医骨伤科杂志,2013,21(12):47-48.
[26]杨杰华,冼晓琪,区大明,等.脊椎矫正枪技术修复骨骼组织细胞产生拉应力及压应力的作用[J].中国组织工程研究,2014,18(51):8212-8216.
[27]Brizzolara KJ,Price W.Effectiveness of adding a pelvic compression belt to lumbopelvic stabilization exercises for women with sacroiliac joint pain:a feasibility randomized clinical trial.J Women’s Health Phys Ther.2018.
[28]Taheri A,Lajevardi M,Abad M,et al.Sacroiliac joint intraarticular injection in true anteroposterior view:description of a new c-arm guided method.Pain Physician.2018;21(1):61-66.
[29]Murakami E,Kurosawa D,Aizawa T.Treatment strategy for sacroiliac joint-related pain at or around the posterior superior iliac spine.Clin Neurol Neurosurg.2018;165:43-46.
[30]Vanaclocha V,Herrera JM,Sáizsapena N,et al.Minimally invasive sacroiliac joint fusion,radiofrequency denervation,and conservative management for sacroiliac joint pain:6-year comparative case series.Neurosurgery.2018;82(1):48.
[31]Yi YR,Lee NR,Kwon YS,et al.Pulsed radiofrequency application for the treatment of pain secondary to sacroiliac joint metastases.Korean J Pain.2016;29(1):53-56.
[32]Cánovas Martínez L,Ordu?a Valls J,Paramés Mosquera E,et al.Sacroiliac joint pain:Prospective,randomised,experimental and comparative study of thermal radiofrequency with sacroiliac joint block.Rev Esp Anestesiol Reanim.2016;63(5):267-272.
[33]Provenzano DA,Buvanendran A,De OL,et al.Interpreting the mint randomized trials evaluating radiofrequency ablation for lumbar facet and sacroiliac joint pain:a call from asra for better education,study design,and performance.Reg Anesth Pain Med.2018;43(1):68.
[34]Tong YCI,Yong RJ.L5 dorsal ramus and s1-s3 lateral branch radiofrequency ablation.Sacroil Joint Pain.2017.
[35]Chakrabortty S,Kumar S,Gupta D,et al.Intractable sacroiliac joint pain treated with peripheral nerve field stimulation.J Anaesth Clin Pharmacol.2016;32(3):392-394.
[36]Beck CE,Jacobson S,Thomasson E.A retrospective outcomes study of 20 sacroiliac joint fusion patients.Cureus.2015;7(4):e260.
[37]Moon YE,Seok H,Kim SH,et al.Extracorporeal shock wave therapy for sacroiliac joint pain:A prospective,randomized,sham-controlled short-term trial.J Back Musculoskelet Rehabil.2017;30(4):779-784.
[38]曾金强.推拿整复手法配合微波治疗骶髂关节错位的疗效观察[J].医学理论与实践,2018,31(11):1633-1634.
[39]卢辉.屈髋屈膝旋转扳法配合中药熏蒸治疗骶髂关节半脱位的临床疗效[J].中国实用医药,2018,13(13):125-126.
[40]朱满华.推拿手法配合针刀治疗骶髂关节损伤的临床效果分析[J].当代医学,2018,24(5):137-138.
[41]孙珂,闫显栋,李守栋.针刺结合脊柱微调手法治疗骶髂关节紊乱[J].吉林中医药,2018,38(1):99-102.
[42]Dengler JD,Kools D,Pflugmacher R,et al.1-year results of a randomized controlled trial of conservative management vs.minimally invasive surgical treatment for sacroiliac joint pain.Pain Physician.2017;20(6):537.
[43]Pei-Yan H,Zhi-Quan AN,Ming-Hai W,et al.Clinical analysis of anterior bone plate fixation for acetabular fractures and sacroiliac joint dislocation.Chin J Bone Joint Injury.2017.
[44]Verrills P,Vivian D.Interventions in chronic low back pain.Aust Fam Physician.2004;33(6):421-426.
[45]Szadek KM,Hoogland PV,Zuurmond WW,et al.Possible nociceptive structures in the sacroiliac joint cartilage:An immunohistochemical study.Clin Anat.2010;23(2):192-198.
[46]Brisby H.Pathology and possible mechanisms of nervous system response to disc degeneration.J Bone Joint Surg.2006;88(2):68-71.
[47]Fortin JD,Vilensky JA,Merkel GJ.Can the sacroiliac joint cause sciatica?Pain Physician.2003;6(3):269-271.
[48]马春光.骨盆韧带的生物力学研究及旋转不稳定骨盆骨折的治疗[D].石家庄:河北医科大学,2003.
[49]刘慧,张喜林,周楠,等.步态仿真下腰椎间盘退变合并骶髂关节紊乱的有限元分析[J].医用生物力学,2017,32(1):46-53.
[50]毕玲.运动员骶髂关节骨错缝的病机分型及手法治疗[J].成都体育学院学报,2009,35(10):71-74.
[2]Oldreive WL.A classification of,and a critical review of the literature on,syndromes of the sacroiliac joint.J Man Man Ther.2013;6(1):24-30.
[3]Chang WH,Lew HL,Chen CPC.Ultrasound-guided sacroiliac joint injection technique.Am J Phys Med Rehabil.2013;92(3):278-279.
[4]Foley BS,Buschbacher RM.Sacroiliac joint pain:anatomy,biomechanics,diagnosis,and treatment.Am J Phys Med Rehabil.2006;85(12):997-1006.
[5]Rahl MD.Anatomy and Biomechanics//Surgery for the Painful,Dysfunctional Sacroiliac Joint.Springer International Publishing,2015:15-35.
[6]Vleeming A,Schuenke MD,Masi AT,et al.The sacroiliac joint:an overview of its anatomy,function and potential clinical implications.J Anat.2012;221(6):537-567.
[7]邹箭山,王晴.王友仁按动微调法治疗骶髂关节错位经验[J].中国中医药信息杂志,2018,25(12):110-111.
[8]洪流.齐鸿按动疗法治疗骶髂关节半脱位引发梨状肌疼痛经验[J].中国中医药信息杂志,2017,24(1):119-120.
[9]Cohen SP,Chen Y,Neufeld NJ.Sacroiliac joint pain:a comprehensive review of epidemiology,diagnosis and treatment.Exp Rev Neurother.2013;13(1):99-116.
[10]李森荣,谢曦.中医整脊复位手法治疗孕妇骶髂关节错位疗效观察[J].按摩与康复医学,2015,31(3):37-38.
[11]匡家毅,黎玉宣,何育风,等.解剖点斜刺治疗骶髂关节损伤:随机对照研究[J].中国针灸,2016,36(4):359-363.
[12]魏文广,陈剑俊,董成伟.针刺、整脊、功能锻炼综合治疗产后骶髂关节错缝症疗效观察[J].上海针灸杂志,2017,36(1):67-70.
[13]蔡少萍.温针灸治疗骶髂关节炎的效果分析[J].中国当代医药,2018,25(9):109-111.
[14]袁涛,金钰钧,兰鹏飞.矩阵针灸联合电温针治疗骶髂关节致密性骨炎42例[J].西部中医药,2017,30(6):59-61.
[15]阿力木江·马合木提.治疗256例第三腰椎横突综合征和骶髂关节半脱位的临床报告[J].新疆维吾尔医学专科学校学报,2017,27(1):22-25.
[16]杨永晖,方后山,耿凯,等.针刀治疗骶髂关节错缝源性下腰痛临床疗效观察[J].中医药临床杂志,2017,29(1):113-115.
[17]陶群,陆惠新.电针治疗骶髂关节错位疗效观察[J].上海针灸杂志,2006,(10):27-28.
[18]Yonglei LU,Zhaohui C,Lulu C,et al.Clinical observation on manipulation of tendon-bone-setting in the treatment of sacroiliac joint dislocation by immediate effects.Clin J Trad Chin Med.2016.
[19]王学习.推拿手法整复治疗骶髂关节错位107例[A].中华中医药学会推拿分会.中华中医药学会推拿分会第十四次推拿学术交流会论文汇编[C].中华中医药学会推拿分会:中华中医药学会,2013:2.
[20]姜洪凯.手法整复治疗骶髂关节错位的临床体会[J].世界最新医学信息文摘,2016,16(95):80.
[21]林勇.后伸压骶手法治疗骶髂关节紊乱症45例[J].中国实用医药,2016,11(6):131-132.
[22]姬明亮.手法复位为主治疗骶髂关节错位110例[J].河南中医,2012,32(7):898.
[23]王学昌,肖红恩,王西彬.三步复合手法治疗骶髂关节错缝132例[J].中国中医骨伤科杂志,2011,19(6):40-41.
[24]王红锦.骨盆按旋法治疗骶髂关节错位及耻骨联合分离的临床研究[J].中国卫生标准管理,2017,8(17):27-29.
[25]王平,张超,苏瑾.应用美式整脊床冲击手法治疗骶髂关节紊乱症30例[J].中国中医骨伤科杂志,2013,21(12):47-48.
[26]杨杰华,冼晓琪,区大明,等.脊椎矫正枪技术修复骨骼组织细胞产生拉应力及压应力的作用[J].中国组织工程研究,2014,18(51):8212-8216.
[27]Brizzolara KJ,Price W.Effectiveness of adding a pelvic compression belt to lumbopelvic stabilization exercises for women with sacroiliac joint pain:a feasibility randomized clinical trial.J Women’s Health Phys Ther.2018.
[28]Taheri A,Lajevardi M,Abad M,et al.Sacroiliac joint intraarticular injection in true anteroposterior view:description of a new c-arm guided method.Pain Physician.2018;21(1):61-66.
[29]Murakami E,Kurosawa D,Aizawa T.Treatment strategy for sacroiliac joint-related pain at or around the posterior superior iliac spine.Clin Neurol Neurosurg.2018;165:43-46.
[30]Vanaclocha V,Herrera JM,Sáizsapena N,et al.Minimally invasive sacroiliac joint fusion,radiofrequency denervation,and conservative management for sacroiliac joint pain:6-year comparative case series.Neurosurgery.2018;82(1):48.
[31]Yi YR,Lee NR,Kwon YS,et al.Pulsed radiofrequency application for the treatment of pain secondary to sacroiliac joint metastases.Korean J Pain.2016;29(1):53-56.
[32]Cánovas Martínez L,Ordu?a Valls J,Paramés Mosquera E,et al.Sacroiliac joint pain:Prospective,randomised,experimental and comparative study of thermal radiofrequency with sacroiliac joint block.Rev Esp Anestesiol Reanim.2016;63(5):267-272.
[33]Provenzano DA,Buvanendran A,De OL,et al.Interpreting the mint randomized trials evaluating radiofrequency ablation for lumbar facet and sacroiliac joint pain:a call from asra for better education,study design,and performance.Reg Anesth Pain Med.2018;43(1):68.
[34]Tong YCI,Yong RJ.L5 dorsal ramus and s1-s3 lateral branch radiofrequency ablation.Sacroil Joint Pain.2017.
[35]Chakrabortty S,Kumar S,Gupta D,et al.Intractable sacroiliac joint pain treated with peripheral nerve field stimulation.J Anaesth Clin Pharmacol.2016;32(3):392-394.
[36]Beck CE,Jacobson S,Thomasson E.A retrospective outcomes study of 20 sacroiliac joint fusion patients.Cureus.2015;7(4):e260.
[37]Moon YE,Seok H,Kim SH,et al.Extracorporeal shock wave therapy for sacroiliac joint pain:A prospective,randomized,sham-controlled short-term trial.J Back Musculoskelet Rehabil.2017;30(4):779-784.
[38]曾金强.推拿整复手法配合微波治疗骶髂关节错位的疗效观察[J].医学理论与实践,2018,31(11):1633-1634.
[39]卢辉.屈髋屈膝旋转扳法配合中药熏蒸治疗骶髂关节半脱位的临床疗效[J].中国实用医药,2018,13(13):125-126.
[40]朱满华.推拿手法配合针刀治疗骶髂关节损伤的临床效果分析[J].当代医学,2018,24(5):137-138.
[41]孙珂,闫显栋,李守栋.针刺结合脊柱微调手法治疗骶髂关节紊乱[J].吉林中医药,2018,38(1):99-102.
[42]Dengler JD,Kools D,Pflugmacher R,et al.1-year results of a randomized controlled trial of conservative management vs.minimally invasive surgical treatment for sacroiliac joint pain.Pain Physician.2017;20(6):537.
[43]Pei-Yan H,Zhi-Quan AN,Ming-Hai W,et al.Clinical analysis of anterior bone plate fixation for acetabular fractures and sacroiliac joint dislocation.Chin J Bone Joint Injury.2017.
[44]Verrills P,Vivian D.Interventions in chronic low back pain.Aust Fam Physician.2004;33(6):421-426.
[45]Szadek KM,Hoogland PV,Zuurmond WW,et al.Possible nociceptive structures in the sacroiliac joint cartilage:An immunohistochemical study.Clin Anat.2010;23(2):192-198.
[46]Brisby H.Pathology and possible mechanisms of nervous system response to disc degeneration.J Bone Joint Surg.2006;88(2):68-71.
[47]Fortin JD,Vilensky JA,Merkel GJ.Can the sacroiliac joint cause sciatica?Pain Physician.2003;6(3):269-271.
[48]马春光.骨盆韧带的生物力学研究及旋转不稳定骨盆骨折的治疗[D].石家庄:河北医科大学,2003.
[49]刘慧,张喜林,周楠,等.步态仿真下腰椎间盘退变合并骶髂关节紊乱的有限元分析[J].医用生物力学,2017,32(1):46-53.
[50]毕玲.运动员骶髂关节骨错缝的病机分型及手法治疗[J].成都体育学院学报,2009,35(10):71-74.