肋横突关节关节面的形态特点及其意义

发布时间：2018-10-29 21:01

【摘要】：目的通过对成人肋横突关节骨性关节面的形态学测量,探讨其形态特征规律为临床诊疗、置钉设计及相关生物力学研究提供理论依据。方法选取40套(80侧)成人胸廓干骨标本,进行相关指标观测,并按不同节段统计分析。结果横突肋凹横槽形仅见于T1和T2,凹面形T1~4渐增,平面形T5~9渐增,T11、T12基本无肋凹;横突肋凹上位T4~8渐增,中位T1~4渐增,T5~9由63.7%渐减到11.3%,下位T1~7渐减;肋结节关节面平面型呈正态分布,凸面型除R7外,均占23.0%~50.0%,凹面型R1、R2分别为27.5%、33.8%,其余分布极少,R11、R12基本无关节面;肋结节关节面仅R1出现上位,占10.0%,中位R1占80.0%,R3~11占3.8%~26.3%,下位R2~10占60%~96.2%。结论椎骨横突肋凹由凹到平、位置逐渐上移;肋结节关节面由凸变平位置逐渐下移;临床应用应根据1~12肋的相关参数选取适合的治疗方案。
[Abstract]:Objective to study the morphological characteristics of osteoarticular surface of adult costal transverse process joint and to provide theoretical basis for clinical diagnosis and treatment, nail design and biomechanical research. Methods Forty adult thoracic dry bone specimens (80 sides) were selected and the related indexes were observed and analyzed according to different segments. Results the transverse groove of transverse process fovea was found only in T1 and T2, concave T1F4 gradually increased, plane T5F9 increased, T11T12 basically had no fovea, the upper stage T4F8 increased gradually, the median T1F4 increased, T5N9 decreased from 63.7% to 11.3%, and lower T17 decreased. The plane distribution of the articular surface of the costal nodule was normal, the convex type, except R7, accounted for 50.0%, the concave type R _ (1) and R _ (2) were 27.50.33. 8 and the others were very few, and the R11R12 basically had no articular surface. The articular surface of the costal nodule was superior to R1 (10.0%), the median R1 was 80.0%, the R3C11 was 3.826.3, and the inferior R2O10 was 60.96. 2. Conclusion the position of the transverse facet of vertebrae is moving up from concave to flat and the articular surface of costal tubercle is gradually moving down from convex to flat. The suitable treatment scheme should be selected according to the relevant parameters of 1D and 12 ribs in clinical application.
【作者单位】：包头医学院医职业技术学院;内蒙古医科大学;
【基金】：国家自然科学基金(81260269) 内蒙古自然科学基金(2012MS1149)
【分类号】：R322.71;R322.72

【参考文献】