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枢椎横突孔观测及其临床意义 被引量:14

OBSERVATION OF AXIS TRANSVERSE FORAMEN AND ITS CLINICAL SIGNIFICANCE
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摘要 目的 :探讨枢椎横突孔结构在转头引起寰枢段椎动脉狭窄或闭塞的临床解剖学意义。方法 :观测 10 0例枢椎横突孔上口的开口方向、孔径、上口与下口之间的成角、以及横突孔水平距离。结果 :两侧枢椎横突孔孔径相差不大 ,最大径为 6.1± 0 .7mm,最小径 5.4± 0 .6mm。两侧横突孔上口开口方向明显不对称 ,上口与下口之间的角度为 12 7± 2 2°,左侧较右侧明显 ,甚至形成直角或锐角 ,且左侧横突孔水平距离较长 ,说明椎动脉在孔内弯曲或扭曲。结论 :枢椎横突孔的结构对其中椎动脉起着一种牵系作用 。 Objective: To study the clinical significance of axis transverse foramen(ATF) in the etiology of the vertebral artery insufficiency after cervical rotational movement. Methods: 100 dry axis specimens were used to observe and measure ATFs. Results: The diameters of both sides of ATF were of similar size, the mean diameter being 6.1±0.7 mm. An angle of 127±22 degrees was formed in the ATF between its inlet and outlet, particularly in the left side. Conclusions: The vertebral artery coursed through ATF in a tortuous form and was tethered by ATF. Therefore, the vertebral artery was susceptible to be affected in the case of atlantoaxial instability.
出处 《解剖学杂志》 CAS CSCD 北大核心 1999年第2期163-165,共3页 Chinese Journal of Anatomy
关键词 枢椎 横突孔 椎动脉供血不足 解剖学 axis transverse foramen vertebral artery insufficiency
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  • 1仲生海,北京第二医学院学报,1985年,6卷,185页
  • 2倪文才,中华骨科杂志,1985年,5卷,144页
  • 3杨克勤,颈椎病,1981年

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