| 摘要: |
| 目的 探讨超声下腰椎骨性结构移行规律及椎体节段识别方法。方法 对我科收治的200例腰痛患者进行超声扫查，重点描述腰椎纵切面、横切面超声声像图特点，腰椎纵切面上骨性结构移行规律，以及腰椎节段的定位方法。结果 ①纵切面上腰椎骨性结构声像特点：可大致分为5个切面：棘突切面、椎板切面、椎板与下关节突切面、上关节突与横突根部切面、横突切面。当连续动态扫超腰椎时可发现，棘突向外移行为椎板，椎板向外移行为上下关节突及横突根部，横突根部向外移行为横突。横切面上腰椎骨性结构特点：可分为三个切面：横突上关节突关节切面，横突间切面，横突下椎板切面。②腰椎节段的确定，可参考第12肋骨、腰椎棘突、椎板、横突或髂嵴来确定。当腰椎节段不确定时，可采取多种节段确定的方法联合应用。结论 腰椎骨性结构在横切面及纵切面上均有一定的移行规律，超声是腰椎节段确定的理想方法。 |
| 关键词: 超声检查 腰椎 腰椎节段 |
| DOI： |
| 投稿时间：2020-12-27修订日期：2021-05-31 |
| 基金项目:超声引导下肩袖间隙扩张治疗冻结肩的临床疗效观察 |
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| Ultrasound tracing rule of lumbar vertebral bone structure and recognition method of vertebral body segment when the number of transverse processes is abnormal Guo Shuang,Wang Gang,Zuo Chuanbing,Liu Kuan,Mei Qiuan, Yang Kun First Orthopedics Rehabilitation Ward, Shiyan Taihe hospital , Shiyan City, Hubei Province ,442000,China. |
| guoshuang,WANG GANG,zuo chuanbing,liu kuan,yangkun,mei qiuan |
| (Shiyan Taihe hospital) |
| Abstract: |
| Objective To investigate the migration rule of lumbar vertebrae bony structure and the identification method of lumbar spine segment under ultrasound. Methods Ultrasound scanning was performed on 200 patients with low back pain treated in our department, focusing on describing the characteristics of the longitudinal and transverse ultrasound images of the lumbar spine; the migration rule of the bony structures on the longitudinal and transverse lumbar spine, and the the identification method of lumbar spine segment. Results ① Longitudinal section of the lumbar vertebrae bony structure ultrasound acoustic characteristics: it can be roughly divided into 5 sections: spinous process section, lamine section, lamina and inferior articular process section, superior articular process and transverse process root section,transverse process section.When continuously and dynamically sweeping over the lumbar spine, it can be found that the spinous process moves outward to act as a lamina, the lamina moves outward to the upper and lower articular processes and the roots of the transverse process, and the root of the transverse process moves outward to the transverse process. Lumbar vertebrae bony structural features on the cross-section: it can be divided into three sections: the joint section of the upper articular process of the transverse process, the section of the inter-transverse process, andthe section of the lower lamina of the transverse process. ②The determination of the lumbar spine segment can be determined by referring to the 12th rib, spinous process, lamina, transverse process or iliac crest. When the lumbar spine segment is uncertain, a variety of segment determination methods can be used in combination.Conclusion The bony structure of the lumbar spine has a certain migration rule on the transverse and longitudinal planes. Ultrasound is an ideal method for determining the lumbar spine segment. |
| Key words: Ultrasound examination Lumbar spine Lumbar segment |
