腰椎射频治疗腰椎间盘突出症ppt课件

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 骶骶骨骨vCoccygeal vertebrae 尾椎尾椎 Co.34 coccyx尾尾骨骨1腰椎射频治疗腰椎间盘突出症一、Vertebrae 椎骨1腰椎射频治疗腰椎间盘突出症五、五、Normal Curves of vertebral columnvCervical curvature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五、Normal Curves of vertebral c3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、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 椎间孔椎间孔4腰椎射频治疗腰椎间盘突出症General features of vertebraeVLumbar vertebrae vVertebrae Body：larger,kidney-shape vVertebral foramen: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Lumbar vertebrae Vertebrae Bod1.Joints of the vertebral bodies 椎体间的连椎体间的连结结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 outer fibrous ring consisting of fibrocartilage6腰椎射频治疗腰椎间盘突出症1.Joints of the vertebral bodiHernia 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Hernia of nucleus pulpous 髓核脱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12腰椎射频治疗腰椎间盘突出症13腰椎射频治疗腰椎间盘突出症13 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 adjacent 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横突间横突间韧带韧带 vZygapophysial joint 关节突关节关节突关节14腰椎射频治疗腰椎间盘突出症 2.Joints of the vertebral arc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15腰椎射频治疗腰椎间盘突出症16腰椎射频治疗腰椎间盘突出症16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板峡部裂或椎间盘、韧带退变。椎板峡部裂或椎间盘、韧带退变。MRIMRI：征象同征象同CTCT17腰椎射频治疗腰椎间盘突出症椎 管 狭 窄发生于椎管、侧隐窝和椎间孔。先天或后天性。颈椎椎 间间 盘盘 膨膨 出出18腰椎射频治疗腰椎间盘突出症椎 间 盘 膨 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19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）腰椎射频治疗腰椎间盘突出症20椎间盘膨出（较严重，向后有突出椎间盘突出椎间盘突出21腰椎射频治疗腰椎间盘突出症椎间盘突出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23腰椎射频治疗腰椎间盘突出症24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25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32腰椎射频治疗腰椎间盘突出症