腰神经后内支卡压症针刀手术入路研究  

Research on Operative Procedure of Small-needle-scalpel for Branchs Entrapment Syndrome of Lumbar Nerve Posteromedial

作　　者：陈跃[1] 吴炳煌[2] 李俐[3] 吴明霞[3] 张家栋[1] 

机构地区：[1]福建中医学院现代医学部,福建福州350003 [2]福建中医学院针推系,福建福州350003 [3]福建中医学院附属第二人民医院,福建福州350003

出　　处：《福建中医学院学报》2001年第1期22-24,共3页Journal of Fujian College of Traditional Chinese Medicine

基　　金：福建省卫生厅科研基金! (9779)

摘　　要：为研究针刀治疗腰神经后内支卡压症的手术入路 ,在 1 5具成年尸体的腰背部解剖观测腰神经后内支及其所穿过的腰椎乳突副突间骨纤维管的解剖结构 ,并进行骨纤维管的表面解剖测量。结果显示腰神经后内支直径 0 .66± 0 .1 6mm;腰神经后内支骨纤维管的横径 4 .0 0～ 5.1 0 mm;纵径 1 .50～ 2 .4 0 mm,长度 6.2 0～ 8.4 0 mm;后外内支骨纤维管距离相应体表深度约 3 0 .2 0～ 3 7.3 0 mm;骨纤维管长轴与后中线夹角约 3 3～ 4 6°。为设计较合理的针刀治疗腰神经后内支卡压症的手术入路提供了解剖参考。To study the operative procedure of the small-needle-scalpel on treating entrapment syndrome of posteromedial lumbar nerve,the structure of posteromedial lumbar nerve and bone fibrous tubulus through Mastoid and accessory process was observed by dissecting lumbar of 15 adult corpses,and surface anatomy of bone fibrous tubulus was measured.The results showed that the dia\|\{meter\} of posteromedial lumbar nerve is 0.66±0.16mm.Its bone fibrous tubulus is 4.00～5.10mm in transverse dia-meter,1.50～2.40mm in longitudinal diameter,6.20～8.40mm in length,30.20～\{37.30mm\} in depth away from the according posteromedial bone fibrous tubulus,33～46 in angle between its long axis and posterior median line.It provides useful reference for clinical treatment.

关 键 词：脊神经 解剖学 组织学 腰 神经压迫综合征 针灸疗法 小针刀 

分 类 号：R274.9[医药卫生—中西医结合]