椎动脉型颈椎病的应用解剖学研究

发布时间：2018-04-02 15:34

本文选题：椎动脉　切入点：颈椎病　出处：《吉林大学》2006年硕士论文

【摘要】： 目的:研究椎动脉走行Ⅱ段的显微解剖结构,明确该段的各结构以及彼此之间的关系,对重要结构进行量化分析,为相关临床科室治疗椎动脉型颈椎病提供解剖学依据。实验方法:20具(40侧)10%甲醛固定的成人尸体标本,其中男性10具,女性10具。分别测量和观察椎动脉的外径和全长,椎动脉在横突孔内的位置,横突孔的孔径,钩突尖至横突孔内侧壁的距离,钩突高度,以及椎动脉表面和周围交感神经的分布。并用统计软件对测量数据进行处理。对重要结构进行拍照。实验结果:我们通过统计学研究发现椎动脉的左右侧比较以及男女性别比较,无显著性差异。只有当椎动脉受到外界因素影响或椎动脉本身发育不良时,才能引起椎动脉缺血。通过标本观察,横突孔的绝对狭窄很少见,主要是相对狭窄,当钩突关节增生肥大时,极易占据部分横突孔空间而致椎动脉受压,造成血流量减少。C5钩突尖至横突孔内侧壁的距离最小,C5钩突高度较其它椎体高,故C5是椎动脉型颈椎病高发部位。椎动脉表面及周围
[Abstract]:Objective: to study the microanatomical structure of the vertebral artery in the second segment, to clarify the structure of the segment and the relationship between them, and to quantitatively analyze the important structures so as to provide anatomic basis for the treatment of cervical spondylosis of vertebral artery type in related clinical departments.Methods: 20 adult cadavers (10% formalin fixed in 40 sides) were collected, including 10 males and 10 females.The external diameter and length of the vertebral artery, the position of the vertebral artery in the transverse foramen, the aperture of the transverse foramen, the distance from the tip of the uncinate process to the lateral wall of the transverse foramen, the height of the uncinate process, and the distribution of sympathetic nerves on and around the vertebral artery were measured and observed.The measurement data are processed by statistical software.Take photographs of important structures.The results showed that there was no significant difference in the left and right side of vertebral artery and the sex comparison between male and female.Only when the vertebral artery is affected by external factors or the vertebral artery itself is dysplasia can it cause vertebral artery ischemia.The absolute stricture of the transverse foramen is rare, mainly relatively narrow. When the uncinate joint is hyperplastic, it is easy to occupy part of the transverse foramen space and cause the vertebral artery to be compressed.The distance between the tip of the uncinate process and the lateral wall of the transverse foramen was the smallest and the height of the C5 uncinate process was higher than that of the other vertebrae, so C5 was the most common site of cervical spondylopathy of vertebral artery type.Surface and surrounding of vertebral artery
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R322;R681.55

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