椎旁肌在腰椎疾患及后路手术后改变的研究进展  

Research progress on paraspinal muscles'changes in lumbar disorders and after posterior lumbar surgery

作　　者：潘丹 张志成 孙天胜[2,3] Pan Dan;Zhang Zhicheng;Sun Tiansheng(Department of Spinal Surgery,Zhuzhou Central Hospital,Zhuzhou 412000,China;the Second Clinical Medical College of Southern Medical University,Guangzhou 510000,China;the Seventh Medical Center of PLA General Hospital,Beijing 100010,China)

机构地区：[1]湖南省株洲市中心医院脊柱外科,412000 [2]南方医科大学第二临床学院,广州510000 [3]中国人民解放军总医院第七医学中心,北京100010

出　　处：《中国医师杂志》2020年第4期634-637,共4页Journal of Chinese Physician

摘　　要：导致腰椎疾患的原因很多,如椎间盘、椎体、小关节、神经、肌腱、椎旁肌等的病变。目前对于椎间盘、椎体等结构的研究较多,而对椎旁肌的研究相对较少。事实上,椎旁肌对于维持腰椎的稳定性具有重要的作用。近年来,人们从形态学、电生理、物理试验以及活检等多个方面对腰椎椎旁肌进行研究,希望找到一些腰椎疾患的肌源性因素,同时为改善腰椎后路手术的预后提供参考。本文针对椎旁肌在腰椎疾患中的改变以及腰椎后路手术对椎旁肌影响的研究进展作一综述。There are many reasons which can lead to lumbar disorders,such as intervetebral disc,vertebral body,facet joint,nerve,tendon,paraspinal muscle and so on.However there are many studies focus on the structures of intervertebral disc and vertebral body,while researches on paraspinal muscle are relatively few.In fact,the paraspinal muscle plays an important role in maintaining the stability of the lumbar spine.In recent years,the paraspinal muscle have been examined from morphology,electrophysiology,physical experiment,biopsy and so on,hoping to find out some myogenic factors of lumbar disorders,and to provide reference for improving the prognosis of lumbar posterior surgery.This article reviews the research progress on paraspinal muscles'changes in lumbar disorders and after posterior lumbar surgery.

关 键 词：椎旁肌 脊柱疾病 腰椎 综述 

分 类 号：R687.3[医药卫生—骨科学]