腰椎射频治疗腰椎间盘突出症.pptx

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1、一、一、Vertebrae 椎骨椎骨vThere are 33 vertebrae in children,arranged as follows:vCervical vertebrae 颈椎颈椎 C.7vThoracic vertebrae 胸椎胸椎 T.12vLumbar vertebrae 腰椎腰椎 L.5vSacral vertebrae 骶椎骶椎 S.5 sacrum 骶骨骶骨vCoccygeal vertebrae 尾椎尾椎 Co.34 coccyx尾骨尾骨五、五、Normal Curves of vertebral columnvCervical curvature颈曲颈曲 co

2、nvex forwardvThoracic curvature胸曲胸曲 convex backward vLumbar curvature腰曲腰曲 convex forwardvSacral curvature骶曲骶曲 convex backwardGeneral features of vertebraevVertebral body 椎体椎体vVertebral arch 椎弓椎弓pedicle of vertebral arch 椎弓根椎弓根:sup.and inf.Vertebral notch 椎上、下切迹椎上、下切迹 lamina of vertebral arch 椎弓板椎弓板v

3、process(7):spinous process 棘突棘突transverse process 横突横突sup.and inf.articular processes 上、下关节突上、下关节突vVertebral foramen 椎孔椎孔 vVertebral canal 椎管椎管vIntervertebral foramen 椎间孔椎间孔Lumbar vertebrae vVertebrae Body：larger,kidney-shape vVertebral foramen:larger and triangular vSpinous processes:projects horiz

4、ontally vTransverse processes:long vArticular processes:sagittal 1.Joints of the vertebral bodies 椎体间的连结椎体间的连结Intervertebral discs 椎间盘椎间盘 between bodies of adjacent vertebrae,composed of:vNucleus pulpous髓核髓核,an inner soft,pulpy,highly elastic structure(gelatinous core)vAnnulus fibrosus纤维环纤维环 an oute

5、r fibrous ring consisting of fibrocartilageHernia of nucleus pulpous 髓核脱出髓核脱出Copyright duxinli8Copyright duxinli9Copyright duxinli10Copyright duxinli11Copyright duxinli12Copyright duxinli13 2.Joints of the vertebral arches 椎弓间的连结椎弓间的连结vLigamenta flava 黄韧带黄韧带 elastic ligament,unite laminae of adjacen

6、t vertebrae,and complete the posterior wall of vertebral canal;tend to prevent hyperflexion of the vertebral columnvInterspinal ligament 棘间韧带棘间韧带vSupraspinal ligament 棘上韧带棘上韧带vLigamentum nuchae项韧带项韧带 vIntertansverse ligament横突间韧带横突间韧带 vZygapophysial joint 关节突关节关节突关节Copyright duxinli15Copyright duxin

7、li16椎椎 管管 狭狭 窄窄发发生生于于椎椎管管、侧侧隐隐窝窝和和椎椎间间孔孔。先先天天或后天性。颈或后天性。颈1010mmmm，腰腰11.511.5mmmmCTCT：椎椎体体后后缘缘骨骨赘赘向向椎椎管管内内突突入入。侧侧隐隐窝窝狭狭窄窄：椎椎间间盘盘退退变变膨膨出出和和上上下下关关节节突突肥肥大大是是其其主主要要原原因因，前前后后径径22mmmm为为狭狭窄窄，2-42-4mmmm为为可可疑疑。黄黄韧韧带带或或后后纵纵韧韧带带肥肥厚厚、骨骨化化。椎椎体体滑滑脱脱椎椎板板峡峡部部裂裂或或椎椎间间盘盘、韧韧带带退退变。变。MRIMRI：征象同征象同CTCT椎椎 间间 盘盘 膨膨 出出Copyright duxinli19椎间盘突出（中央型）椎间盘突出（中央型）Copyright duxinli20椎间盘膨出（较严重，向后有突出）椎间盘膨出（较严重，向后有突出）椎间盘突出椎间盘突出Copyright duxinli23Copyright duxinli24