腰椎射频治疗腰椎间盘突出症课件.pptx

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1腰椎射频治疗腰椎间盘突出症五、五、Normal Curves of vertebral columnvCervical cu

2、rvature颈曲颈曲 convex forwardvThoracic curvature胸曲胸曲 convex backward vLumbar curvature腰曲腰曲 convex forwardvSacral curvature骶曲骶曲 convex backward2腰椎射频治疗腰椎间盘突出症3腰椎射频治疗腰椎间盘突出症General 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、

3、下切迹椎上、下切迹 lamina of vertebral arch 椎弓板椎弓板vprocess(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 椎间椎间孔孔4腰椎射频治疗腰椎间盘突出症Lumbar vertebrae vVertebrae Body：larger,kidney-shape vVertebral foramen

4、:larger and triangular vSpinous processes:projects horizontally vTransverse processes:long vArticular processes:sagittal 5腰椎射频治疗腰椎间盘突出症1.Joints of the vertebral bodies 椎体间的椎体间的连结连结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,hi

5、ghly elastic structure(gelatinous core)vAnnulus fibrosus纤维环纤维环 an outer fibrous ring consisting of fibrocartilage6腰椎射频治疗腰椎间盘突出症Hernia of nucleus pulpous 髓核脱出髓核脱出7腰椎射频治疗腰椎间盘突出症腰椎射频治疗腰椎间盘突出症8腰椎射频治疗腰椎间盘突出症9腰椎射频治疗腰椎间盘突出症10腰椎射频治疗腰椎间盘突出症11腰椎射频治疗腰椎间盘突出症12腰椎射频治疗腰椎间盘突出症13 2.Joints of the vertebral arches 椎弓间

6、的椎弓间的连结连结vLigamenta flava 黄韧带黄韧带 elastic ligament,unite laminae of adjacent vertebrae,and complete the posterior wall of vertebral canal;tend to prevent hyperflexion of the vertebral columnvInterspinal ligament 棘间韧棘间韧带带vSupraspinal ligament 棘上韧棘上韧带带vLigamentum nuchae项韧带项韧带 vIntertansverse ligament横突

7、横突间韧带间韧带 vZygapophysial joint 关节突关节突关节关节14腰椎射频治疗腰椎间盘突出症腰椎射频治疗腰椎间盘突出症15腰椎射频治疗腰椎间盘突出症16发生于椎管、侧隐窝和椎间孔。先天发生于椎管、侧隐窝和椎间孔。先天或后天性。颈或后天性。颈1010mmmm，腰腰11.511.5mmmmCTCT：椎体后缘骨赘向椎管内突入。椎体后缘骨赘向椎管内突入。侧隐窝狭窄：椎间盘退变膨出和上侧隐窝狭窄：椎间盘退变膨出和上下关节突肥大是其主要原因，前后径下关节突肥大是其主要原因，前后径22mmmm为狭窄，为狭窄，2-42-4mmmm为可疑。黄为可疑。黄韧带或后纵韧带肥厚、骨化。椎体韧带或后纵韧

8、带肥厚、骨化。椎体滑脱滑脱椎板峡部裂或椎间盘、韧带退椎板峡部裂或椎间盘、韧带退变。变。MRIMRI：征象同征象同CTCT17腰椎射频治疗腰椎间盘突出症椎椎 间间 盘盘 膨膨 出出18腰椎射频治疗腰椎间盘突出症腰椎射频治疗腰椎间盘突出症19椎间盘突出（中央型）椎间盘突出（中央型）腰椎射频治疗腰椎间盘突出症20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）21腰椎射频治疗腰椎间盘突出症22腰椎射频治疗腰椎间盘突出症腰椎射频治疗腰椎间盘突出症23腰椎射频治疗腰椎间盘突出症2425腰椎射频治疗腰椎间盘突出症26腰椎射频治疗腰椎间盘突出症27腰椎射频治疗腰椎间盘突出症28腰椎射频治疗腰椎间盘突出症29腰椎射频治疗腰椎间盘突出症30腰椎射频治疗腰椎间盘突出症31腰椎射频治疗腰椎间盘突出症32腰椎射频治疗腰椎间盘突出症