腰后关节紊乱症与腰脊神经后内侧支关系的临床与实验研究  

Clinical and experimental studies on relation between derangement of lumbar posterior facet joints and posteromedial branch of lumbar spinal nerve

作　　者：章永东[1] 蒋位庄[1] 周卫[1] 李星[1] 马达[1] 

机构地区：[1]中国中医研究院骨伤科研究所

出　　处：《中国骨伤》1994年第4期5-7,10,共4页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金

摘　　要：作者通过对５３例腰后关节紊乱症病人的临床分析，并根据产生腰痛的原因，将该症分为关节周围型和关节内型，通过对１０具尸体的１００支腰脊神经后内地支显微解剖观察，证明后关节的神经支配主要来自后内侧支，该神经的行程及通道存在多处被挤压的因素，作者从神经解剖生理的角度探讨腰后关节紊乱症的病机和手法治疗原理。Via analysis of 53 cases of derangement of lumbar posterior facet joints,and based on the cause of lumbago,they were grouped into periarticular and intraarticular two types.Through microanatomical observation of 100 posterior medial branch of lumbar spinal nerve from 10 cadavers,it was proved that the posterior facet joints were chiefly innervated by posteromedial branch.They were compressed by multiple factors along their course and passage.The pathogenesis and principle of canipulative therapy of the ailmint were explored based on the neuroanatomical and physiological data.

关 键 词：腰后关节紊乱 腰脊神经 病机 

分 类 号：R274.94[医药卫生—中西医结合]