腰椎横突间韧带的解剖学观测及意义

曲永松,安月勇,李顺见,吕美玲

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (5) : 511-513.

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (5) : 511-513. DOI: 10.13418/j.issn.1001-165x.2015.05.004
应用解剖

腰椎横突间韧带的解剖学观测及意义

  • 曲永松1, 安月勇1, 李顺见1, 吕美玲2
作者信息 +

The anatomic observation of the lumbar intertranverse ligaments and its signific

  • QU Yong-song1 , AN Yue-yong1 , LI Shun-jian1 , LV Mei-ling2
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摘要

目的 通过对腰椎横突间韧带的解剖学观测,为极外侧型腰椎间盘突出症的手术治疗提供解剖学基础。  方法 15具经防腐固定的成人尸体标本,解剖观测腰椎横突间韧带,用游标卡尺测量其长度、宽度和厚度。 结果 L1~2横突间韧带长度(1.67±0.39)cm,宽度(0.80±0.23)cm,厚度(0.09±0.04)cm;L2~3横突间韧带长度(1.80±0.35)cm,宽度(0.94±0.23)cm,厚度(0.09±0.06)cm;L3~4横突间韧带长度(1.72±0.25)cm,宽度(0.95±0.21)cm,厚度(0.09±0.03)cm;L4~5横突间韧带长度(1.50±0.20)cm,宽度(1.04±0.23)cm,厚度(0.09±0.04)cm。   结论 腰椎横突间韧带为经横突间入路(含内窥镜下)治疗极外侧腰椎间盘突出症的重要解剖学标志,熟悉其解剖形态特点对于此类手术具有重要意义。

Abstract

Objective To provide the anatomic data for the surgical treatment of  the extreme lateral lumbar disc herniation through the anatomic observation of the lumbar intertranverse ligaments. Methods The lumbar intertranverse ligaments were exposed and observed in 15 cases of the adult cadavers. The related data were obtained with vernir caliper. Results The length、width and thickness of the lumbar intertranverse ligaments were (1.67±0.39)cm、(0.80±0.23)cm、(0.09±0.04)cm, (1.80±0.35)cm、(0.94±0.23)cm、(0.09±0.06)cm,(1.72±0.25)cm、(0.95±0.21)cm、(0.09±0.03)cm,(1.50±0.20)cm、(1.04±0.23)cm、(0.09±0.04)cm in L1~2、L2~3、L3~4、L4~5 respectively. Conclusions The lumbar intertranverse ligaments were the important anatomic landmarks in the surgical treatment of the extreme lateral lumbar disc herniation with lumbar intertransverse approach ( including microendoscopic surgery ). It's important to master the applied anatomy of the lumbar intertranverse ligaments for this kind of surgical treatment.

关键词

横突间韧带 / 腰椎 / 应用解剖学 / 极外侧型腰椎间盘突出症

Key words

 Intertranverse ligament / Lumbar / Applied anatomy / Extreme lateral lumbar disc herniation

引用本文

导出引用
曲永松,安月勇,李顺见,吕美玲. 腰椎横突间韧带的解剖学观测及意义[J]. 中国临床解剖学杂志. 2015, 33(5): 511-513 https://doi.org/10.13418/j.issn.1001-165x.2015.05.004
The anatomic observation of the lumbar intertranverse ligaments and its signific[J]. Chinese Journal of Clinical Anatomy. 2015, 33(5): 511-513 https://doi.org/10.13418/j.issn.1001-165x.2015.05.004

参考文献

[1]   周跃,王建,张峡,等.内窥镜下经横突间入路治疗椎间孔外侧型腰椎间盘突出症[J].中国脊柱脊髓杂志,2004,14(2):87-89.
[2]   荀宝通,智润林.经横突间入路治疗单纯极外侧腰椎间盘突出症[J].实用骨科杂志,2007,13(12):709-711.
[3]   周跃,王建,初同伟.极外侧型腰椎间盘突出症的微创外科治疗[J].中华骨科杂志,2007,27(4):241-247.
[4]   刘聪,银和平,李志军,等.腰椎横突间入路的临床解剖学研究[J].中国脊柱脊髓杂志,2012,22 (5):448-451.
[5]   谢晓勇,丁自海,李平生,等.椎板侧方入路治疗腰椎间盘突出症的解剖及临床应用[J].中国矫形外科杂志,2006,14(21):1651-1653.
[6]   谢晓勇,丁自海. 椎板侧方入路治疗极外侧腰椎间盘突出症的应用解剖[J].中国临床解剖学杂志,2006, 24(3):286-288.
[7]  陈亮,唐天驷,杨惠林,等.椎间孔外型腰椎间盘突出的应用解剖和手术治疗[J].中华外科杂志,2002, 40(10):733-736.
[8]   王建,周跃,初同伟,等. 显微内镜手术治疗极外侧型腰椎间盘突出症[J].中国骨与关节损伤杂志, 2006 , 21(9):705-707.
[9]  刘锴. 脊柱后路内窥镜治疗极外侧椎间盘突出症6 例分析[J].中国误诊学杂志,2009,9(4):968-969.
[10]0’Hara UJ,Marshall RW.Far lateral lumbar disc herniation[J].J Bone Joint Surg Br ,1997,79-B(6):943-947.
[11]Wang QP,Lee NS,Zhang Y,et al. Intertransverse approach for extraforaminal herniations[J]. Spine,1997, 22(6):701-705.
[12]Lindblom K . Protasions of disks and nerve compression in the Lumbar region [J].Acta Radiol, 1944, 29(1):25-195.
[13]Harris RI, Macnab I. Structural changes in the lumbar intervertebral discs; their relationship to low back pain and sciatica[J]. J Bone Joint Surg Br ,1954, 36(2):304-322.
[14]Abdullah AF,Ditto E,Byrd E,et a1.Extreme lateral lumbar disc herniation[J].J Neurosurg,1974,41(4):229-234.


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