| 髂胫束综合征的临床诊治研究进展 |
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Received:August 15, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 丁谷渊 |
DING Gu-yuan |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 史申宇 |
SHI Shen-yu |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 凌晓宇 |
LING Xiao-yu |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 袁家骏 |
YUAN Jia-jun |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 张舟 |
ZHANG Zhou |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 罗程 |
LUO Cheng |
杭州市富阳中医骨伤医院骨伤科, 浙江 杭州 311400 |
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| 肖鲁伟 |
XIAO Lu-wei |
浙江省骨伤研究所, 浙江 杭州 310053 |
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| 童培建 |
TONG Pei-jian |
浙江中医药大学附属第一医院骨伤科, 浙江 杭州 310000 |
Department of Orthopaedic & Traumatology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
tongpeijian@163.com |
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| 期刊信息：《中国骨伤》2018年31卷，第10期，第965-970页 |
| DOI：10.3969/j.issn.1003-0034.2018.10.018 |
| 基金项目:2014年浙江省科技厅十二五重大专项（编号：2014C13G 2120082）；2014年浙江省卫生厅-省部共建项目（编号：201487674）；2013年国家自然科学基金（编号：81373669） |
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| 髂胫束综合征作为运动员好发疾病之一已受到日益关注，其诊断主要通过临床症状、查体及MRI确诊，但尚无统一的诊断标准。而髂胫束综合征的发病机制多被认为与压力及摩擦因素有关。治疗上，国内外都公认以手法、肌肉锻炼、药物及理疗等保守方法为主均能达到预期疗效；对于保守失败、顽固性ITBS患者，可采用关节镜、髂胫束松解等手术方式，保守以局部药物注射联合肌肉锻炼可起到很好的疼痛管理，临床上多为采用。此外关节镜作为目前较为先进的手术方式，适用于各类患者群，无绝对禁忌证，对患者早期活动有很大帮助。目前其发病机制尚有较大争论，且临床上对其各种治法的具体适应证也无明显界限，需进一步规范。 |
| [关键词]:髂胫束综合征 诊断 病因 治疗 |
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| Clinical diagnosis and treatment for iliotibial band syndrome |
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| Abstract:As an usually occurs in athletes,iliotibial band syndrome is payed more attention for people,the disease is diagnosed mainly by clinical symptoms,physical examination and MRI,but there is no uniform diagnostic criteria. The pathogenesis of iliotibial band syndrome is considered to be related to pressure and friction factors. As for the treatment,manipulation,muscle exercise,mainly drugs and physical therapy and so on both at home and abroad are recognized to use to achieve desired effect. For conservative failure,refractory iliotibial band syndrome patients,arthroscopy,or release of iliotibial band syndrome surgery are performed. While conservative local drug injection combined with muscle exercise could play a role in pain management besides,arthroscopic as operation method is more advanced,and applicable to all types of patients without absolute contraindication,so it is helpful for patients with early activity. At present,there is still a great deal of controversy about its pathogenesis,and there is no obvious limit for the specific indications of its various therapies in clinic,so it needs further specification. |
| KEYWORDS:Iliotibial band syndrome Diagnosis Etiology Therapy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 丁谷渊,史申宇,凌晓宇,袁家骏,张舟,罗程,肖鲁伟,童培建.髂胫束综合征的临床诊治研究进展[J].中国骨伤,2018,31(10):965~970 |
| 英文格式: | DING Gu-yuan,SHI Shen-yu,LING Xiao-yu,YUAN Jia-jun,ZHANG Zhou,LUO Cheng,XIAO Lu-wei,TONG Pei-jian.Clinical diagnosis and treatment for iliotibial band syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(10):965~970 |
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