| 腰神经后支主干卡压症针刀手术入路研究 |
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投稿时间：1999-02-08 修订日期：2000-04-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈跃 |
CHEN Yue |
福建中医学院基础医学部,福建福州350003 |
Fujian College of TCM Fujian Fuzhou,350003 |
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| 吴炳煌 |
WU Bing huang |
福建中医学院基础医学部,福建福州350003 |
Fujian College of TCM Fujian Fuzhou,350003 |
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| 张家栋 |
ZHANG Jia dong |
福建中医学院基础医学部,福建福州350003 |
Fujian College of TCM Fujian Fuzhou,350003 |
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| 吴明霞 |
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福建中医学院附属第二人民医院,福建福州 |
Fujian College of TCM Fujian Fuzhou,350003 |
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| 李俐 |
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福建中医学院附属第二人民医院,福建福州 |
Fujian College of TCM Fujian Fuzhou,350003 |
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| 期刊信息：《中国骨伤》2001年，第14卷，第1期，第25-26页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:福建省卫生厅科研基金资助项目(编号9779) |
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中文摘要:
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0.66～1.73mm.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23～29mm, 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。 |
| 【关键词】神经压迫综合征 神经解剖学 外科治疗学 |
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| 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 |
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ABSTRACT
Objective: 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.
Methods: Lumbar spine specimens were obtained from 15 adult cadavers.Anatomical dissection were performed in 30 posterior branchs of lumbar nerves in the samples.
Results: 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.
Conclusion: 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. |
| KEY WORDS Nerve compression syndromes Neuroanatomy Small needle scalpel surgery operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈跃,吴炳煌,张家栋,吴明霞,李俐.腰神经后支主干卡压症针刀手术入路研究[J].中国骨伤,2001,14(1):25~26 |
| 英文格式: | CHEN Yue,WU Bing huang,ZHANG Jia dong.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[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(1):25~26 |
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