针刀后侧入路治疗颈椎病的安全性和可行性探讨  

DISCUSSION ON THE SECURITY AND POSSIBILITY OF CERVICAL SPONDYLOPATHY TREATED BY KNIFE ACUPUNCTURE IN THE POSTERIOR APPROACH

作　　者：陈茂义[1] 刘光旺[1] 尹群党 李殿宁[1] 

机构地区：[1]南京中医药大学,硕士研究生江苏南京210029 [2]新沂市人民医院,江苏新沂221400

出　　处：《甘肃中医》2004年第12期3-4,共2页Gansu Journal of Traditional Chinese Medicine

摘　　要：目的:探讨针刀后侧入路治疗颈椎病的可行性和安全性。方法:取30具骨骼标本和2具尸体,以其棘突中点连线为后正中线,上、下小关节突外缘为边线,两侧上、下位椎板重叠内缘交点相连为横线,分别测量横线、边线至后正中线的距离以及小关节突的宽度。在尸体上距后正中线旁开10 mm处垂直插入针刀达相应间隙椎板后缘,固定针刀,沿针刀逐层解剖,观测入路行径。结果:横线至后正中线间距为9.2～17.8 mm,而边线至后正中线距离为20.4～28.7mm,小关节宽度为8.9～13.4 mm。取距后正中线旁开10～20 mm处为进针点,进针角度以矢状面0°,水平面向下倾斜0～20°插入,不会引起意外损伤。结论:针刀后侧入路治疗颈椎病是一种可行安全的入路。Objective:To discuss the possibility and security of cervical spondylopathy treated by knife acupuncture in the posterior approach.Methods:30 skeletal sample and 2 corpse,set up the linking line of the middle point of spinous processes as posterior middle line(PML),the external edge of superior articular process and inferior superior process as external lines,the link of the crossing points of internal overlapping edge of neighbouring vertebral lamina as transverse line,measure the distance between the transverse line and posterior middle line,the distance between external lines and posterior middle line,the width of articular process.On the corpse,with 10 mm to the PML,the knife acupuncture is inserted vertically to the posterior edge of vertebral lamina,fix the knife.Anatomy along the knife layer by layer and observe the path of approach.

关 键 词：颈椎病 针刀疗法 入路 探讨 

分 类 号：R681.55[医药卫生—骨科学]