壮族人群极外侧椎间融合术的影像解剖研究

宁能杰; 江华; 陈前芬; 周举仕

doi:10.13418/j.issn.1001-165x.2016.03.010

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (3) : 285-288. DOI: 10.13418/j.issn.1001-165x.2016.03.010

断层影像解剖

壮族人群极外侧椎间融合术的影像解剖研究

宁能杰¹，　江华² ，　陈前芬²，　周举仕²

作者信息 +

The imaging anatomy study of Zhuang population using transpsoas extreme lateral interbody fusion

NING Neng-jie¹, JIANG Hua², CHEN Qian-fen², ZHOU Ju-shi²

Author information +

文章历史 +

摘要

目的　确定壮族人群极外侧椎间融合术的安全操作范围。方法　测量壮族人群腰椎MRI腰大肌和椎体的前后径，腰丛、椎体、腰大肌、腹部大血管的相对距离，血管外侧缘相对椎体中线的角度。结果　壮族人群XLIF的安全操作范围从L1~2至L3~4相邻节段无明显差异，在L4~5比L3~4小；左侧安全操作范围比右侧大，女性比男性小。结论　(1)壮族人群可从两侧行XLIF；(2)壮族人群XLIF的腰大肌穿刺点，L1~2、L4~5节段位于椎体的Ⅱ、Ⅲ区，L2~3、L3~4节段位于椎体的Ⅲ区。

Abstract

Objective　To define the safe working zone using the extreme lateral interbody fusion(XLIF).　Methods　We retrospectively evaluated lumbar spine MRI. Relevant parameters were measured from axial magnetic resonance images and analyzed, including the vertebrae endplate and psoas muscle diameters, the overlap between the lumbar plexus, the endplate of the vertebral body, the psoas muscle, the retroperitoneal vessels, and the angle of the retroperitoneal vessels.　Results　The SWZ（safe working zone）of extreme lateral interbody fusion from L1~2 to L3~4 had no significant difference. The SWZ of L4~5 level was smaller than that at L3~4 level. The right SWZ was significant smaller than the left SWZ; the SWZ of female was smaller than that of male.　Conclusions　(1)The left side and right side are suitable for the Zhuang population using XLIF. (2)The puncture point of the Zhuang population using XLIF lies in zone Ⅱand zone Ⅲat L1~L2,L4~L5 level (zone Ⅲ at L2~L3,L3~L4 level).

导出引用

宁能杰,江华,陈前芬,周举仕. 壮族人群极外侧椎间融合术的影像解剖研究[J]. 中国临床解剖学杂志. 2016, 34(3): 285-288 https://doi.org/10.13418/j.issn.1001-165x.2016.03.010

NING Neng-jie, JIANG Hua, CHEN Qian-fen, ZHOU Ju-shi. The imaging anatomy study of Zhuang population using transpsoas extreme lateral interbody fusion[J]. Chinese Journal of Clinical Anatomy. 2016, 34(3): 285-288 https://doi.org/10.13418/j.issn.1001-165x.2016.03.010

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