腰椎射頻治療腰椎間盤突出癥課件-2

1、一、Vertebrae 椎骨There are 33 vertebrae in children, arranged as follows:Cervical vertebrae 頸椎 C.7Thoracic vertebrae 胸椎 T.12Lumbar vertebrae 腰椎 L.5Sacral vertebrae 骶椎 S.5 sacrum 骶骨Coccygeal vertebrae 尾椎 Co.34 coccyx尾骨一、Vertebrae 椎骨五、Normal Curves of vertebral columnCervical curvature頸曲 convex forwardTh

2、oracic curvature胸曲 convex backward Lumbar curvature腰曲 convex forwardSacral curvature骶曲 convex backward五、Normal Curves of vertebral c腰椎射頻治療腰椎間盤突出癥課件_2General features of vertebraeVertebral body 椎體Vertebral arch 椎弓pedicle of vertebral arch 椎弓根: sup. and inf. Vertebral notch 椎上、下切跡 lamina of vertebral

3、arch 椎弓板process (7): spinous process 棘突transverse process 橫突sup. and inf. articular processes 上、下關節(jié)突Vertebral foramen 椎孔 Vertebral canal 椎管Intervertebral foramen 椎間孔General features of vertebraeVLumbar vertebrae Vertebrae Body： larger, kidney-shape Vertebral foramen: larger and triangular Spinous pr

4、ocesses: projects horizontally Transverse processes: long Articular processes: sagittal Lumbar vertebrae Vertebrae Bod1.Joints of the vertebral bodies 椎體間的連結Intervertebral discs 椎間盤 between bodies of adjacent vertebrae, composed of:Nucleus pulpous髓核, an inner soft, pulpy, highly elastic structure (g

5、elatinous core )Annulus fibrosus纖維環(huán) an outer fibrous ring consisting of fibrocartilage1.Joints of the vertebral bodiHernia of nucleus pulpous 髓核脫出Hernia of nucleus pulpous 髓核脫Copyright duxinli8Copyright duxinli8Copyright duxinli9Copyright duxinli9Copyright duxinli10Copyright duxinli10Copyright duxin

6、li11Copyright duxinli11Copyright duxinli12Copyright duxinli12Copyright duxinli13Copyright duxinli13 2.Joints of the vertebral arches 椎弓間的連結Ligamenta flava 黃韌帶 elastic ligament, unite laminae of adjacent vertebrae, and complete the posterior wall of vertebral canal; tend to prevent hyperflexion of th

7、e vertebral columnInterspinal ligament 棘間韌帶Supraspinal ligament 棘上韌帶Ligamentum nuchae項韌帶 Intertansverse ligament橫突間韌帶 Zygapophysial joint 關節(jié)突關節(jié) 2.Joints of the vertebral arcCopyright duxinli15Copyright duxinli15Copyright duxinli16Copyright duxinli16椎 管 狹 窄發(fā)生于椎管、側隱窩和椎間孔。先天或后天性。頸10mm，腰11.5mmCT：椎體后緣骨贅向

8、椎管內突入。側隱窩狹窄：椎間盤退變膨出和上下關節(jié)突肥大是其主要原因，前后徑2mm為狹窄，2-4mm為可疑。黃韌帶或后縱韌帶肥厚、骨化。椎體滑脫椎板峽部裂或椎間盤、韌帶退變。MRI：征象同CT椎 管 狹 窄發(fā)生于椎管、側隱窩和椎間孔。先天或后天性。頸椎 間 盤 膨 出椎 間 盤 膨 出Copyright duxinli19椎間盤突出（中央型） Copyright duxinli19椎間盤突出（中央型Copyright duxinli20椎間盤膨出（較嚴重，向后有突出） Copyright duxinli20椎間盤膨出（較嚴重椎間盤突出椎間盤突出腰椎射頻治療腰椎間盤突出癥課件_2Copyright duxinli23Copyright duxinli23Copyright duxinli24Copyright duxinli24腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2腰椎射頻治療腰椎間盤突出癥課件_2結束語當你盡了自己的最大努力時，失敗也是偉大的，所以不要放棄，堅持就是正確的。When You Do Your Best, Failure Is Great, S