腰椎关节突关节的应用解剖与在微创术中的定位价值

发布时间：2018-01-06 02:34

本文关键词：腰椎关节突关节的应用解剖与在微创术中的定位价值　出处：《中国临床解剖学杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的通过解剖标本和影像资料测量腰椎关节突关节及毗邻结构的相关数据,探讨关节突关节作为腰椎微创术中重要解剖定位标志的可行性。方法收集新鲜成年人体腰椎标本10具20侧,共计80个节段。腰椎X线影像资料50例,200个节段。以关节突关节最高点(Highest point of lumbar zygapophysial joint,HP)作为测量中心,从微创手术应用解剖的角度,分别观测HP与手术相关结构的距离和角度。结果 HP至腰神经距离随椎间隙向下,数值逐渐增大,而角度趋于变小;HP至邻近椎间盘的距离,向下逐渐增大;HP和相邻椎间盘中平面垂直距离为0.8~1.5 mm,HP垂直高度位于椎间盘厚度范围内。结论腰椎关节突关节具备位置稳定、显露简单、容易辨认、对应关系易于掌握、准确性高的特点。是理想的解剖标志。在临床腰椎后路微创手术中可发挥一定的解剖定位作用。
[Abstract]:Objective through the relevant data and image data to measure anatomical specimens of lumbar facet joints and adjacent structure, explore the feasibility of lumbar facet joint as a minimally invasive surgery in important anatomic landmarks. Methods 10 fresh adult human lumbar specimens with 20 sides, a total of 80 segments. 50 cases of lumbar X-ray images, 200 segments to the highest point of the facet joint. (Highest point of lumbar zygapophysial joint, HP) as the measurement center, from the angle of application anatomy of minimally invasive surgery, respectively, observation distance and angle related to the structure of HP and operation. The results of HP to the waist intervertebral distance with God down, numerical increases gradually, while the angle tends to become smaller; HP the distance to the adjacent intervertebral disc, downward gradually increased; HP and the adjacent intervertebral disc plane vertical distance is 0.8~1.5 mm HP, is located in the vertical height of intervertebral disc thickness. Conclusion lumbar facet joints have a Stability, exposure is simple, easy to identify, easy to grasp and accurate. It is an ideal anatomical landmark. It can play an anatomic role in clinical minimally invasive surgery for lumbar spine.

【作者单位】：呼和浩特市第一医院脊柱外科;内蒙古医科大学第二附属医院微创脊柱外科;内蒙古医科大学基础医学院;
【分类号】：R687.3;R322.7
【正文快照】： 腰椎关节突关节是脊柱最重要的解剖和功能结构之一,有关腰椎关节突关节对于腰椎稳定性以及与腰椎疾病相关性等方面的论述在文献中已有较深入的研究。而近年,随着腰椎微创技术的发展,腰椎关节突关节在微创术中的解剖定位作用也逐渐引发关注。众所周知,现代外科学发展越来越趋向

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