胸腰结合区椎骨关节突方位转变的性状观察及临床意义  

Observation of the orientation change of the vertebral articular processes in the thoracolumbar junction area and its clinical significance

作　　者：张海钰 赵遵杭 马卫 Zhang Haiyu;Zhao Zunhang;Ma Wei(Department of Human Anatomy,Shandong Medical College,Linyi 276000;Clinic,Shandong University of Science and Technology,Jinan 250000,China)

机构地区：[1]山东医学高等专科学校人体解剖学教研室,临沂276000 [2]山东科技大学医务室,济南250000

出　　处：《解剖学杂志》2023年第2期140-143,共4页Chinese Journal of Anatomy

摘　　要：目的:观察胸腰结合区椎骨的关节突从冠状位向矢状位转变的性状特点和分型以及临床意义。方法:选用完整成套椎骨,仔细观察第9胸椎~第5腰椎(T9~L5)各椎骨关节突方位的性状,及其与相应乳突的位置关系。结果:在男性和女性椎骨中均发现,胸腰结合区椎骨的关节突从冠状位转变为矢状位,均有2种方式,即突变型与渐变型,男性中突变型占35.3%,渐变Ⅰ型44.1%,渐变Ⅱ型20.6%;女性中突变型占52.2%,渐变Ⅰ型34.8%,渐变Ⅱ型13.1%。男女各型差异有统计学意义。结论:男、女性椎骨关节突方位转变在受力特点和形态学特征存在差异,对预防脊柱胸腰结合区运动损伤和临床治疗具有比较重要的意义。Objective:To observe the characteristics,classification and clinical significance of the transformation of the articular processes of the thoracolumbar junction from coronal to sagittal position.Methods:Many sets of vertebrae was selected to observe the orientation of the articular processes of the 9th thoracic vertebra to the 5th lumbar vertebra and their relationship with the corresponding mastoid processes.Results:In both male and female vertebrae,it was found that the articular process of the vertebra in the thoracolumbar junction area changed from the coronal to the sagittal position in two ways,the mutant type and the gradual type.The male mutant type accounted for 35.3%of the male,the gradual typeⅠ44.1%,and the gradual typeⅡ20.6%.The proportion of female mutant type was 52.2%,gradual typeⅠ34.8%,gradual typeⅡ13.1%.The difference between male and female was statistically significant.Conclusion:There are differences between male and female in the stress characteristics and morphological characteristics of the changes in the orientation of the vertebral facet,which is of great significance in the prevention of sports injuries in the thoracolumbar junction of the spine and clinical treatment.

关 键 词：胸椎 腰椎 关节突关节 力学 

分 类 号：R322.71[医药卫生—人体解剖和组织胚胎学]