腰段华佗夹脊穴针刺深度的CT影像定位探析

Study on the needling depth of lumbar Jiaji (Ex-B2) points with CT imaging location

目的:探讨在华佗夹脊穴(腰段)采用新针刺方法治疗腰椎间盘突出症的安全深度与角度.方法:采用CT对华佗夹脊穴(腰段)的进针深度、角度、相关组织层面及植入的羊肠线进行扫描观察.结果:当针与人体矢状面呈20～30°角进针并出现明显的'落空感'时,看到针尖可到达华佗夹脊穴(腰段)深部的硬膜外后间隙,此为最佳进针深度,并可在此间隙植入羊肠线或药物.结论:将针灸针或羊肠线作用于华佗夹脊穴(腰段)深部的硬膜外后间隙为治疗腰椎间盘突出症的适宜部位.

Objective To study on safe depth and angle of needling lumbar Jiaji (Ex-B2) for treatment of prolapse of lumbar intervertebral disc. Methods CT technique was used for scanning investigation on the depth and angle of needling lumbar Jiaji (Ex-B2). Results When the acupuncture needle or puncture needle was inserted at an angle of 20~30° to the sagittal plane of the human body, the tip of needle could reached to extradural posterior space of the depth of lumbar Jiaji points (being the best inserting depth), in which catgut or medicine could be placed. Conclusion Acupuncture or catgut stimulating the extradural posterior space at the depth of lumbar Jiaji is superior to the traditional needling method in treatment of prolapse of lumbar intervertebral disc.