腰椎横突间韧带的解剖学观测及意义  

The anatomic observation of the lumbar intertranverse ligaments and its significance

作　　者：曲永松 安月勇 李顺见 吕美玲[2] 

机构地区：[1]山东省莱阳卫生学校 [2]烟台市莱阳中心医院,山东莱阳265200

出　　处：《中国临床解剖学杂志》2015年第5期511-513,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：通过对腰椎横突间韧带的解剖学观测，为极外侧型腰椎间盘突出症的手术治疗提供解剖学基础。方法15具经防腐固定的成人尸体标本，解剖观测腰椎横突间韧带，用游标卡尺测量其长度、宽度和厚度。结果 L1~2横突间韧带长度（1.67±0.39）cm，宽度（0.80±0.23）cm，厚度（0.09±0.04）cm；L2~3横突间韧带长度（1.80±0.35）cm，宽度（0.94±0.23）cm，厚度（0.09±0.06）cm；L3~4横突间韧带长度（1.72±0.25）cm，宽度（0.95±0.21）cm，厚度（0.09±0.03）cm；L4~5横突间韧带长度（1.50±0.20）cm，宽度（1.04±0.23） cm，厚度（0.09±0.04）cm。结论腰椎横突间韧带为经横突间入路（含内窥镜下）治疗极外侧腰椎间盘突出症的重要解剖学标志，熟悉其解剖形态特点对于此类手术具有重要意义。Objective To provide the anatomic data for the surgical treatment of the extreme lateral lumbar disc herniation through the anatomic observation of the lumbar intertranverse ligaments. Methods The lumbar intertranverse ligaments were exposed and observed in 15 cases of the adult cadavers. The related data were obtained with vernir caliper. Results The length、width and thickness of the lumbar intertranverse ligaments were（1.67±0.39）cm、（0.80±0.23）cm、（0.09±0.04）cm,（1.80±0.35）cm、（0.94±0.23） cm、（0.09 ± 0.06）cm,（1.72 ± 0.25）cm、（0.95 ± 0.21）cm、（0.09 ± 0.03）cm,（1.50 ± 0.20）cm、（1.04 ± 0.23）cm、（0.09 ± 0.04）cm in L1~2、L2~3、L3~4、L4~5 respectively. Conclusions The lumbar intertranverse ligaments were the important anatomic landmarks in the surgical treatment of the extreme lateral lumbar disc herniation with lumbar intertransverse approach （ including microendoscopic surgery ）. It＇s important to master the applied anatomy of the lumbar intertranverse ligaments for this kind of surgical treatment.

关 键 词：横突间韧带 腰椎 应用解剖学 极外侧型腰椎间盘突出症 

分 类 号：R322.73[医药卫生—人体解剖和组织胚胎学] R681.53[医药卫生—基础医学]