{"id":45245,"date":"2024-12-21T05:10:52","date_gmt":"2024-12-21T05:10:52","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=45245"},"modified":"2024-12-21T05:10:52","modified_gmt":"2024-12-21T05:10:52","slug":"%e4%b8%b4%e5%ba%8a%e5%bf%85%e5%a4%87-%e8%85%b0%e6%a4%8e%e9%97%b4%e5%ad%94%e7%9a%84%e5%be%ae%e5%88%9b%e8%a7%a3%e5%89%96%e4%b8%8e%e5%bd%b1%e5%83%8f","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=45245","title":{"rendered":"\u4e34\u5e8a\u5fc5\u5907 | \u8170\u690e\u95f4\u5b54\u7684\u5fae\u521b\u89e3\u5256\u4e0e\u5f71\u50cf"},"content":{"rendered":"<\/p>\n<p>\u690e\u95f4\u5b54\uff08intervertebral 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ligaments\uff09\u4f4d\u4e8e\u4e2d\u592e\u533a\u5185\u9644\u7740\u4e8e\u795e\u7ecf\u6839\u5468\u56f4\u7684\u97e7\u5e26\u7ed3\u6784\u540e\u4fa7\u9ec4\u97e7\u5e26\u7684\u5916\u4fa7\u5ef6\u4f38\u90e8\u5206\u3002\u56fd\u5916\u5b66\u8005\u5c06\u690e\u95f4\u5b54\u5185\u97e7\u5e26\u5206\u4e09\u79cd\u7c7b\u578b\u3002<\/p>\n<p>\uff081\uff09\u7b2c\u4e00\u7c7b\u97e7\u5e26\uff1a\u8d77\u81ea\u690e\u5f13\u6839\u7684\u5e95\u90e8\uff0c\u5206\u5e03\u81f3\u540c\u4e00\u690e\u4f53\u7684\u4e0b\u7f18\uff0c\u8be5\u97e7\u5e26\u5f62\u6210\u7684\u8154\u5ba4\u5f80\u5f80\u6709\u7aa6\u690e\u795e\u7ecf\u548c\u810a\u52a8\u8109\u7684\u5206\u652f\u901a\u8fc7\u3002<\/p>\n<p>\uff082\uff09\u7b2c\u4e8c\u7c7b\u97e7\u5e26\uff1a\u8d77\u81ea\u690e\u5f13\u6839\u540e\u90e8\u548c\u6a2a\u7a81\u6839\u90e8\u7684\u5939\u89d2\u5904\uff0c\u5206\u5e03\u81f3\u540c\u4e00\u690e\u4f53\u7684\u540e\u5916\u4fa7\u58c1\uff0c\u6b64\u5ba4\u5185\u6709\u810a\u52a8\u8109\u7684\u8f83\u5927\u5206\u652f\u901a\u8fc7\u3002<\/p>\n<p>\uff083\uff09\u7b2c\u4e09\u7c7b\u97e7\u5e26\uff1a\u8d77\u81ea\u4e0a\u5173\u8282\u7a81\u7684\u524d\u4e0a\u90e8\uff0c\u5206\u5e03\u81f3\u4e0a\u4e00\u690e\u4f53\u7684\u540e\u5916\u4fa7\u58c1\uff0c\u51fa\u53e3\u795e\u7ecf\u6839\u4f4d\u4e8e\u6b64\u97e7\u5e26\u7684\u4e0a\u65b9\u3002<\/p>\n<p>\u56fd\u5185\u5b66\u8005\u8ba4\u4e3a\u690e\u95f4\u5b54\u5185\u97e7\u5e26\u5206\u4e3a4\u6761\u72ec\u7acb\u7684\u97e7\u5e26\uff0c\u5206\u522b\u90fd\u8d77\u59cb\u4e8e\u690e\u95f4\u5b54\u5185\u795e\u7ecf\u6839\u7684\u5916\u819c\u9798\uff0c\u5206\u522b\u6b62\u4e8e\u5173\u8282\u56ca\u3001\u690e\u95f4\u76d8\u7684\u7ea4\u7ef4\u73af\u548c\u4e0a\u4e0b\u690e\u5f13\u6839\uff0c\u8be54\u6761\u97e7\u5e26\u7684\u4f4d\u7f6e\u548c\u8d70\u5411\uff0c\u5728\u4e0d\u540c\u65b9\u5411\u4e0a\u5c06\u795e\u7ecf\u6839\u62f4\u7cfb\u5728\u5468\u56f4\u7ed3\u6784\u4e0a\uff08\u56fe2\uff0c\u56fe3\uff09\u3002<\/p>\n<\/p>\n<p>\u56fe2 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CTA\u793a\u8282\u6bb5\u6027\u52a8\u8109\uff08CT\u77e2\u72b6\u4f4d\uff09<\/p>\n<p>2.Adamkiewicz\u52a8\u8109\uff1a\u5373\u8170\u81a8\u5927\u52a8\u8109\uff0c\u8d77\u81ea\u8282\u6bb5\u6027\u52a8\u8109\uff0c\u662f\u4e0b2\/3\u810a\u9ad3\u7684\u4e3b\u8981\u8840\u4f9b\uff1b\u7ecfT<sub>7<\/sub>\u5230L<sub>4<\/sub>\u4e4b\u95f4\u7684\u4e00\u4e2a\u690e\u95f4\u5b54\u8fdb\u5165\u690e\u7ba1\u3002\u5916\u56fd\u5b66\u8005\u7814\u7a76\u8868\u660e80%\u7684Adamkiewicz\u52a8\u8109\u4f4d\u4e8eT<sub>9<\/sub>\u5230L<sub>1<\/sub>\u7684\u5de6\u4fa7\uff0c\u4e3b\u8981\u7ecf\u8fc7\u690e\u95f4\u5b54\u7684\u4e2d\u4e0a\u90e8\uff0c\u7d27\u9760\u540e\u6839\u8282\u7684\u504f\u8179\u4fa7\u548c\u4e0a\u5916\u4fa7\u5165\u690e\u7ba1\uff1b\u56fd\u5185\u5b66\u8005\u8ba4\u4e3aAdamkiewicz\u52a8\u8109\u5728\u690e\u7ba1\u5185\u4f34\u968f\u51fa\u5b54\u795e\u7ecf\u6839\u7a7f\u786c\u810a\u819c\uff0c\u4e8e\u810a\u9ad3\u524d\u6b63\u4e2d\u88c2\u5206\u4e3a\u5347\u3001\u964d\u652f\uff0c\u964d\u652f\u7ba1\u5f84\u662f\u5347\u652f\u76842\u500d\u3002\u4e5f\u6709\u5b66\u8005\u8ba4\u4e3aAdamkiewicz\u52a8\u8109\u6765\u81ea\u4e8e\u6839\u52a8\u8109\u7684\u5206\u652f\uff0c\u591a\u89c1\u4e8eT<sub>11<\/sub>\u8282\u6bb5\u3002<\/p>\n<p>\uff08\u4e8c\uff09\u9759\u8109\u7cfb\u7edf\uff1a<\/p>\n<p>1.\u690e\u95f4\u5b54\u4ea4\u901a\u9759\u8109\u4e1b\uff1a\u4ea4\u901a\u9759\u8109\u4e1b\u662f\u8fde\u63a5\u690e\u5185\u9759\u8109\u4e1b\u548c\u690e\u5916\u9759\u8109\u4e1b\u7684\u91cd\u8981\u8154\u9053\uff0c\u5176\u9759\u8109\u8154\u5185\u65e0\u74e3\u819c\uff0c\u4e3b\u8981\u901a\u8fc7\u6cbf\u7740\u690e\u95f4\u5b54\u5185\u4fa7\u97e7\u5e26\u4e0e\u690e\u5f13\u6839\u4e0a\u5207\u8ff9\u5f62\u6210\u7684\u9694\u5ba4\u901a\u8fc7\u690e\u95f4\u5b54\u3002<\/p>\n<p>2.\u6839\u9759\u8109\uff08radicular venous\uff09\uff1a\u6839\u9759\u8109\u4e3b\u8981\u4f4d\u4e8e\u4e0b\u540e\u4fa7\u4f34\u795e\u7ecf\u6839\u51fa\u690e\u95f4\u5b54\u3002<\/p>\n<p>\uff08\u4e09\uff09\u6dcb\u5df4\u7ba1\uff1a<\/p>\n<p>\u4e3b\u8981\u6307\u810a\u795e\u7ecf\u5468\u56f4\u7684\u6dcb\u5df4\u9699\uff0c\u4e0e\u690e\u7ba1\u5185\u786c\u819c\u4e0b\u9699\u76f8\u540c\u3002<\/p>\n<p>\u77e5\u8bc6\u70b9\uff1a<\/p>\n<p>\u690e\u95f4\u5b54\u5185\u7684\u8109\u7ba1\u7cfb\u7edf\u4e3a\u690e\u7ba1\u5185\u7ec4\u7ec7\u4f9b\u5e94\u8425\u517b\u53ca\u6392\u51fa\u4ee3\u8c22\u5e9f\u7269\uff0c\u884c\u690e\u95f4\u5b54\u7a7f\u523a\u65f6\uff0c\u5e94\u6ce8\u610f\u4fdd\u62a4\uff1b\u7279\u522b\u662fAdamkiewicz\u52a8\u8109\uff0c\u635f\u4f24\u540e\u6709\u5bfc\u81f4\u622a\u762b\u7684\u98ce\u9669\u3002<\/p>\n<p>04<\/p>\n<p>\u795e\u7ecf<\/p>\n<p>\u5728\u8170\u690e\u8282\u6bb5\uff0c\u884c\u8d70\u4e8e\u690e\u95f4\u5b54\u5185\u7684\u795e\u7ecf\u4e3b\u8981\u5305\u62ec\u80cc\u6839\u795e\u7ecf\u8282\u3001\u810a\u795e\u7ecf\u6839\u548c\u810a\u819c\u8fd4\u795e\u7ecf\u7b49\uff08\u56fe9\uff09\uff1b\u5728\u6b64\u4e3b\u8981\u4ecb\u7ecd\u4e0e\u7ecf\u76ae\u7a7f\u523a\u76f8\u5173\u7684\u795e\u7ecf\u89e3\u5256\u3002<\/p>\n<p>\u56fe9 \u901a\u8fc7\u690e\u95f4\u5b54\u7684\u795e\u7ecf<\/p>\n<p>\uff08\u4e00\uff09\u810a\u795e\u7ecf\u6839\uff08root of spinal\uff09\uff1a<\/p>\n<p>\u6784\u6210\u4e86\u4e2d\u67a2\u53ca\u5916\u5468\u795e\u7ecf\u7cfb\u7edf\u89e3\u5256\u4e0a\u7684\u8fde\u63a5\uff0c\u5728\u690e\u95f4\u5b54\u6c34\u5e73\uff0c\u76f8\u5bf9\u5e94\u7684\u795e\u7ecf\u6839\u7684\u8179\u4fa7\u652f\u548c\u80cc\u4fa7\u652f\u7ec4\u6210\u4e86\u810a\u795e\u7ecf\uff0c\u5728\u795e\u7ecf\u6839\u7ba1\u5185\u659c\u884c\u4e00\u6bb5\u8ddd\u79bb\u540e\uff0c\u5230\u8fbe\u690e\u95f4\u5b54\uff1b\u795e\u7ecf\u6839\u5728\u884c\u8fdb\u8fc7\u7a0b\u4e2d\u7531Hoffmann\u97e7\u5e26\u56fa\u5b9a\uff0c\u53ef\u968f\u4f53\u4f4d\u53d8\u52a8\u800c\u79fb\u52a8\u3002\u56fd\u5185\u5b66\u8005\u901a\u8fc7\u52a8\u7269\u5b9e\u9a8c\u7814\u7a76\u8868\u660e\uff0c\u76f8\u5bf9\u4e8e\u6b63\u5e38\u9ad3\u6838\u7ec4\u7ec7\uff0c\u9000\u53d8\u6027\u9ad3\u6838\u7ec4\u7ec7\u53ef\u5bfc\u81f4\u795e\u7ecf\u6839\u6027\u75bc\u75db\u52a0\u91cd\u3002<\/p>\n<p>\uff08\u4e8c\uff09\u80cc\u6839\u795e\u7ecf\u8282\uff08dorsal root ganglion\uff0cDRG\uff09\uff1a<\/p>\n<p>\u662f\u80cc\u4fa7\u795e\u7ecf\u6839\u5728\u52a0\u5165\u8179\u4fa7\u795e\u7ecf\u6839\u4e4b\u524d\uff0c\u672b\u7aef\u81a8\u5927\u7684\u90e8\u5206\uff1b\u80cc\u6839\u795e\u7ecf\u8282\u7684\u5927\u5c0f\u56e0\u690e\u4f53\u6c34\u5e73\u4e0d\u540c\u800c\u5f02\uff0c\u81eaL<sub>1<\/sub>\u81f3S<sub>1<\/sub>\u6c34\u5e73\u9010\u6e10\u589e\u5927\uff0cS<sub>2<\/sub>\u4ee5\u4e0b\u9010\u6e10\u53d8\u5c0f\u3002Hasegawa\u6309\u80cc\u6839\u795e\u7ecf\u8282\u7684\u4f4d\u7f6e\u5c06\u5176\u5206\u4e3a\u4ee5\u4e0b\u51e0\u79cd\u7c7b\u578b\u3002<\/p>\n<p>1.\u690e\u7ba1\u5185\u80cc\u6839\u795e\u7ecf\u8282\uff1aS<sub>1<\/sub>\u795e\u7ecf\u6839\u7ba1\u8f83\u77ed\uff0cS<sub>1<\/sub>\u80cc\u6839\u795e\u7ecf\u8282\u591a\u4f4d\u4e8e\u690e\u7ba1\u5185\uff0c\u6613\u53d7\u690e\u95f4\u76d8\u75c5\u53d8\u6240\u5f15\u8d77\u7684\u4fa7\u65b9\u690e\u7ba1\u72ed\u7a84\u7684\u5f71\u54cd\u3002<\/p>\n<p>2.\u690e\u95f4\u5b54\u5185\u80cc\u6839\u795e\u7ecf\u8282\uff1aL<sub>1<\/sub>\uff5eL<sub>5<\/sub>\u80cc\u6839\u795e\u7ecf\u8282\u5927\u591a\u4f4d\u4e8e\u690e\u95f4\u5b54\u5185\u3002<\/p>\n<p>3.\u690e\u95f4\u5b54\u5916\u80cc\u6839\u795e\u7ecf\u8282\uff1a\u80cc\u6839\u795e\u7ecf\u8282\u62e5\u6709\u5b8c\u6574\u7684\u7ea4\u7ef4\u56ca\u548c\u4e30\u5bcc\u7684\u6bdb\u7ec6\u8840\u7ba1\u7f51\uff0c\u5176\u5bf9\u538b\u8feb\u7b49\u5bfc\u81f4\u7684\u6c34\u80bf\u66f4\u654f\u611f\uff0c\u6240\u4ee5\u672f\u4e2d\u9700\u907f\u514d\u673a\u68b0\u6027\u6216\u70ed\u635f\u4f24\u80cc\u6839\u795e\u7ecf\u8282\uff0c\u5426\u5219\u4f1a\u5f15\u8d77\u672f\u540e\u611f\u89c9\u8fdf\u949d\uff0c\u4e25\u91cd\u8005\u5bfc\u81f4\u75c5\u7406\u6027\u795e\u7ecf\u75db\u3002<\/p>\n<p>\uff08\u4e09\uff09\u810a\u819c\u8fd4\u795e\u7ecf\u5373\u7aa6\u690e\u795e\u7ecf\uff08sino vertebral 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