老年人椎动脉的解剖学观测及意义

The senile vertebral artery: observations and its implications

目的:为颈部推拿手法治疗提供老年人椎动脉的解剖学资料。方法:对20具老年人尸体标本椎动脉的行程、弯曲和管径等情况进行解剖学观察,并与10具年轻人尸体标本做比较。结果:老年人标本椎动脉的弯曲明显多于年轻人。多者达10余处,C2～G6段弯曲多为增生的Luscka关节向外推挤所致;左右侧椎动脉管径相差悬殊者并不少见。结论:老年人椎动脉变异较多,易受损伤。

Objective: To provide anatomical data of senile vertebral artery for treatment of cerivcal manipulations. Methods:The course, arcuation and diameter of the vertebral artery were observed and measured, and to compared them with the young specimen. Results: The senile specimen had more arcuations than young specimen , and the arcuations of course from C2to C6 resulted from hyperplastic Lusaka joints. There hardly difference between the diameters of two sides in some specimen. Conclusions: The senile vertebral artery had more anatomic variation and was injuried easily.