中国首例可视化人体与正常人腰神经根的椎间行程及其毗邻关系(英文)  

Intervertebral route of lumbar nerve root in relation to adjacent tissues in the first Chinese visible human and normal human

作　　者：游箭[1] 张绍祥[2] 邱明国[2] 李七渝[2] 陈伟[1] 陆明[1] 

机构地区：[1]解放军第三军医大学西南医院放射科,重庆市400038 [2]解放军第三军医大学基础医学部解剖学教研室,重庆市400038

出　　处：《中国临床康复》2005年第10期213-215,共3页Chinese Journal of Clinical Rehabilitation

基　　金：国家自然科学基金资助项目(39925022)~~

摘　　要：背景:经皮激光椎间盘减压术(percutaneouslaserdiskdecompression,PLDD)是近年来开展的治疗腰椎间盘突出症的新介入疗法。它的穿刺路径常采用后外侧穿刺路径。过去使用应用解剖方法研究穿刺路径,而从薄层断面解剖与CT断面解剖对腰神经根在椎间隙平面的行程和三角工作区进行观测的报告较少。目的:阐明腰神经根在薄层断面和CT断面上椎间行程及周围结构的毗邻关系,为经皮激光椎间盘减压术的穿刺路径提供解剖学依据。设计:以尸体和正常人为研究对象,观察性研究。单位:一所军医大学医院的放射科和一所军医大学解剖学教研室。对象:2002-10在解放军第三军医大学基础医学部人体解剖学教研室(计算医学研究室)完成中国首例可视化人体的采集。2000-01/03在解放军第三军医大学西南医院放射科对无明确椎体和椎间盘疾患及邻近器官无器质性病变的53例检查者进行CT检查和测量。干预:选取的中国首例可视化人体腰神经根在椎间隙平面的行程进行描述性观察。对53例正常人CT检查者的腰神经椎间的走行、形态、大小、周围结构和穿刺线与腰神经的距离进行观察和测量。主要观察指标:描述中国首例可视化人体和正常人腰神经根在椎间隙平面的行程。测量腰神经椎间的长度、宽度和穿刺线与腰神经的距离。BACKGROUND:Percutaneous laser disk decompression(PLDD) is a new interventional therapy of lumbar disk herniation recently. Posterior lateral route is often employed.Puncture route was investigated by the application of anatomic methods previously. However,there are relative fewer reports regarding the observation of the route of lumbar nerve root in intervertebral plane and triangle working area from thin section anatomy and CT section anatomy.OBJECTIVE:To clarify the intervertebral route and its adjacent relationship of lumbar nerve root on thin section and CT section to provide a anatomic gist for puncture route in PLDD.DESIGN:An observational study based on corpus and normal individual.SETTING:Department of radiology of a military medical university of Chinese PLA affiliated hospital and the department of anatomy of a military medical university of Chinese PLA.PARTICIPANTS:The collection of the first Chinese visible human was completed in the Department of Anatomy(laboratory of computer medicine) the Faculty of Medicine,Third Military Medical University of Chinese PLA in October 2002.Totally 53 subjects without confirmed vertebral and intervertebral disc diseases and other diseases of the adjacent organs received CT examination and measurement in the Department of Radiology of the Third Military Medical University of Chinese PLA Affiliated Southwest Hospital between January and March 2000.INTERVENTIONS:The intervertebral route of lumbar nerve root in the first Chinese visible human was observed descriptively.The route,morphology,size,adjacent structure, and the distance between puncture line and lumbar nerve in 53 normal individuals were observed and measured by CT.MAIN OUTCOME MEASURES:To describe the intervertebral route of lumbar nerve root in the first CVH and normal individual,to measure the intervertebral length and width of lumbar nerve,and the distance between puncture line and lumbar nerve.RESULTS:The first Chinese visible human lumbar has 48 layers of intervertebral space with a thickness of each lay

关 键 词：腰神经根 体层摄影术 线计算机 解剖学 

分 类 号：R681.5[医药卫生—骨科学]