第三腰椎横突综合征的基础与临床研究

The Basic and Clinical Study on the Syndrome of Third Lumbar Transverse Process

本文从解剖、病理和临床等方面对第三腰椎横突综合征的发病机理和防治方法进行了研究。结果表明，由于腰三横突在腰椎中的特殊地位和作用，其末端所承受的拉应力较其它腰椎横突大，当腰部受力过大或长期不良工作体位，易引起腰三横突末端组织的急慢性损伤，腰三横突末端血管受累有碍于局部组织的供养，可引起或加重腰三横突末端组织的病理变化。非手术治疗是本病的首选疗法，保持良好的体位，加强腰背肌功能锻炼，有助于稳定和预防下腰痛的复发。

The mechanics of pathogenesis and the method of prevention and treatment of the syndrome of third lumbar transverse process have been studied in anatomy, pathology and clinics. The results demonstrated that, owing to the special position and action of the third lumbar transverse process in the motion of lumbar vertebrae, the pulling stress on the end of third lumbar transverse process was larger than that of other lumbar transverse processes, the pathologic changes of the end of the third lumbar transverse process were induced easily as the lumbar vertebrae bearing extra-ordinary forces or long-term in abnormal posture. Non-operative treatment was the first choice for this disease, and it was benefit to the stability of the spine and the prevention from the relapse of low back pain by keeping good posture and training back muscles.