腰神经后支主干卡压症针刀手术入路研究  

A study of the surgical approach for the small-needle-scalpel procedure for the treatment of entrapment of the main branch of the posterior lumbar nerves

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

机构地区：[1]福建中医学院基础医学部,福建福州350003 [2]福建中医学院附属第二人民医院

出　　处：《中国骨伤》2001年第1期25-26,共2页China Journal of Orthopaedics and Traumatology

基　　金：福建省卫生厅科研基金!资助项目 (编号 9779)

摘　　要：目的　探讨腰神经后支主干卡压症针刀手术入路的路径。方法　在 15具成年尸体腰部标本上对 30侧腰神经后支及其有关结构进行解剖观测。结果　测得腰神经后支主干长度 3 97～6 88mm ,直径 0 6 6～ 1 73mm。腰神经后支主干穿越横突间的后支骨纤维孔时紧邻横突间韧带内缘 ;在体表投影上 ,后支骨纤维孔与同序数腰椎棘突存在规律性联系 ,测得该孔位于相应棘突中点旁开 2 3～ 2 9mm ,其距体表的深度为 32～ 39mm。结论　腰神经后支的解剖观测以及后支骨纤维孔的体表投影观测 ,对针刀治疗腰神经后支卡压症有参考意义。Objective[WT5”BZ] To explore the entry point and path way of small needle scalpel operation for the treatment of entrapment syndrome of main posterior branch of the lumbar nerves.[WT5”HZ]Methods[WT5”BZ] Lumbar spine specimens were obtained from 15 adult cadavers.Anatomical dissection were performed in 30 posterior branchs of lumbar nerves in the samples.[WT5”HZ]Results[WT5”BZ] The lengths of main posterior branches of lumbar nerves ranged from 3.97mm to 6.88mm and the diameters ranged from 0.66mm to 1.73mm.The main posterior branch of lumbar nerve was close to the medial edge of the intertransverse process ligament when it pierced through the intertransverse lateral osteo fibrous aperture.There were regular relationship between the lateral osteo fibrous aperture and the corresponding spinous process of lumbar vertebrae on body surface projection.The aperturae were located 23～29mm from the midpoint of corresponding spinous process and its depths to the surface were from 32mm to 39mm.[WT5”HZ]Conclusion[WT5”BZ] The results of this observation is an important guide for the small needle scalpel procedure for the treatment of entrapment syndrome of main posterior branch of the lumbar nerves.

关 键 词：神经压迫综合征 神经解剖学 外科手术 

分 类 号：R651.3[医药卫生—外科学]