腰骶部骨筋膜室的外科解剖  

Surgical anatomy of the osteofascial compartment in the lumbosacral region

作　　者：杜心如[1] 张一模[1] 刘建丰[1] 孙祥玉[1] 翟栋[1] 王文质[1] 张宝琳[1] 杜志峰[1] 

机构地区：[1]承德医学院附属医院骨科,承德医学院解剖学教研室

出　　处：《中国临床解剖学杂志》1994年第2期132-134,共3页Chinese Journal of Clinical Anatomy

摘　　要：对２５具成尸的腰背筋膜、骶棘肌及腰神经后支进行了观测，腰椎、骶骨及周围韧带与腰背筋膜浅、深层构成腰骶部骨筋膜室，是产生腰骶部骨筋膜室综合征的解剖学基础。腰背筋膜有约束骶棘肌、加强脊住稳定的作用，腰背筋膜下的疏松结缔组织及脂肪有缓冲、减少腰背筋膜与骶棘肌摩擦的作用。腰神经后支穿经骶棘肌，手术时应保护之。he structure and position of the dorsolumbar fascia, the sacrospinal muscle and the dorsalrami of lumbar nerves were studied on 25 cadaveric specimens.It was observed that the osteofas-cial compartment is located between the superficial and deep layers of the dorsolumbar fascia andsurrounded by the lumbar Vertebrae,the sacrum and the related ligaments,which provide theanatomical basis of the compartment syndrome in the dorsolumbar region. The dorsolumbar fas-cia plays an important role in restricting sacrospinal muscle and strengthening the stability of thelumbar spine. The loose connective tissue and fat underneath the dorsolumbar fascia produce acushioning effect and reduce the friction between the sacrospinal muscle and the dorsolumbar fas-cia. The dorsal rami of lumbar nerve at the section pass through the sacrospinal muscle.

关 键 词：骨筋膜室 腰骶部 骶棘肌 解剖学 

分 类 号：R323.43[医药卫生—人体解剖和组织胚胎学]