摘要
目的 比较颈神经在椎间孔及脊神经沟处受嵌压的出现率及严重程度。方法 取 6 0具成年尸体 (男 2 8,女 32 ) ,通过对颈椎间孔及其脊神经根的外径以及对脊神经沟外口宽度及其沟内段脊神经前支横径的测量 ,得出颈神经前支横径 /脊神经沟宽度和颈神经根外径 /椎间孔大小的均值 ,得出比值大于或等于 1的出现率 ,并分别进行统计学处理。结果 颈神经在椎间孔处受压的出现率 ( 2 4.6 %)明显高于脊神经沟处 ( 6 .3%) ( P <0 .0 1)。结论 颈神经在颈椎间孔和脊神经沟处均可受累 ,颈神经在椎间孔处受累的严重性明显大于在脊神经沟处。临床诊治颈椎病在充分考虑椎间孔处神经受累的同时 ,也不可忽视颈椎脊神经沟处神经受累的可能性。
Objective To study the factors of causing spinal nerves entraped anatomically in the cervical intervertebral foramen and the spinal nervous sulcus.Methods The sagittal width and height of the intervertebral foramen and its spinal nerve roots as well as the width of the lateral opening of the spinal nervous sulcus and its external diameters of spinal nerves were measured on 60 cases (male 28,female 32) adult cadavers (total 120 sides). The corresponding ratios of spinal nerve roots to intervertebral foramen as well as spinal nervous external diameter to width of the lateral opening of the spinal nervous sulcus were processed statistically.Results (1) The ratio(24.6%) of the spinal nerve roots entraped in the cervical intervertebral foramen was significantly higher than that (6.3%) in the spinal nervous sulcus (P<0.01).Conclusion It is suggested that the spinal nerve may be entraped in the cervical intervertebral foramen and the spinal nervous sulcus, and the spinal nerve lesions in the cervical intervertebral foramen was more serious than in the spinal nervous sulcus, therefore , the above-mentioned two conditions should be fully considered when the diagnosis and the treatment of cervical spondylosis were discussed.
出处
《颈腰痛杂志》
2003年第3期132-134,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
颈神经
椎间孔嵌压
脊神经沟受嵌压
颈椎病
解剖结构
椎间盘退行性变
intervertebral foramen
sulcus for spinal nerve
spinal nerve roots
anterior branches of the cervical nerves
entrapment
cervical spondylosis
