腰大肌损伤性腰腿痛解剖学关系.doc
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ji腰大肌损伤性腰腿痛解剖学分析
中国骨伤2003年03月第16卷第03期 China J Orthop & Trauma, Dec 2003, Vol. 16, No.03
腰大肌损伤性腰腿痛解剖学分析
李传夫1 李家明2
(1.南通医学院临床解剖研究室，江苏 南通226001；2.南通市虹桥医院)
[摘要] 目的 阐明腰大肌损伤引发腰腿痛的机制。方法 解剖10具共20侧男尸，对腰大肌相关结构：腰椎及横突、股神经、肌腔隙进行解剖、观察、分析。结果 腰大肌损伤可发生在L3横突、肌腔隙、股骨小转子附着点三处。当腰大肌损伤时，疼痛可发生在这些部位。结论腰大肌损伤在L3横突处，疼痛除发生在L3横突附着处，还可沿肌肉放射至大腿内侧，这就是腰大肌损伤性腰腿痛的原因。
[关键词] 腰肌；损伤；疼痛
Analysis of anatomy of the lumbar and leg pain casued by psoas injury
LI Chuanfu, LI Jiaming. Department of Clinical Anatomy, Nantong Medical College (Jiangsu Nantong, 226001, China)
[Abstract] Objective To study the mechanism of the lumbocrural pain rised from the psoas muscle injury. Methods 10 adult male cadavers were dissected The psoas muscle and related strucutres such as the transverse process of the lumbar vertebrae, the femoral nerve, the lacuna musculorum were observed. Results psoas muscle injury occurred in three areas. The third lumbar vertebral transverse process, the lacuna musclorum，the femoral lesser trochanter. When the psoas muscles were injured, the pain occurred in these areas. Conclusion When the psoas muscle injury occurred in the third lumbar vertebral transverse process, the pain not only happens in the local area, but also to the inner side of the thigh along the muscle. This is the cause that the lumbocrural pain rises from the psoas muscle injury.
[Keywords] Psoas muscle; Injury, Pain
腰大肌损伤并不鲜见。但临床上因腰大肌损伤而引起腰腿痛的报道并不多见。临床曾分析了1200例腰腿痛的发病原因，其中629例为软组织损伤引起的腰腿痛病例，但无一例腰大肌损伤的报道记载[1]。由于腰大肌解剖位置的特殊给临床诊断和治疗带来一定困难。由腰大肌引发的腰腿痛从病因和临床症状来分析都不同于常见的坐骨神经性腰腿痛，是一种特殊类型腰腿痛[2]。如对此发病机理认识不足，容易误诊 ......
ji腰大肌损伤性腰腿痛解剖学分析
中国骨伤2003年03月第16卷第03期 China J Orthop & Trauma, Dec 2003, Vol. 16, No.03
腰大肌损伤性腰腿痛解剖学分析
李传夫1 李家明2
(1.南通医学院临床解剖研究室，江苏 南通226001；2.南通市虹桥医院)
[摘要] 目的 阐明腰大肌损伤引发腰腿痛的机制。方法 解剖10具共20侧男尸，对腰大肌相关结构：腰椎及横突、股神经、肌腔隙进行解剖、观察、分析。结果 腰大肌损伤可发生在L3横突、肌腔隙、股骨小转子附着点三处。当腰大肌损伤时，疼痛可发生在这些部位。结论腰大肌损伤在L3横突处，疼痛除发生在L3横突附着处，还可沿肌肉放射至大腿内侧，这就是腰大肌损伤性腰腿痛的原因。
[关键词] 腰肌；损伤；疼痛
Analysis of anatomy of the lumbar and leg pain casued by psoas injury
LI Chuanfu, LI Jiaming. Department of Clinical Anatomy, Nantong Medical College (Jiangsu Nantong, 226001, China)
[Abstract] Objective To study the mechanism of the lumbocrural pain rised from the psoas muscle injury. Methods 10 adult male cadavers were dissected The psoas muscle and related strucutres such as the transverse process of the lumbar vertebrae, the femoral nerve, the lacuna musculorum were observed. Results psoas muscle injury occurred in three areas. The third lumbar vertebral transverse process, the lacuna musclorum，the femoral lesser trochanter. When the psoas muscles were injured, the pain occurred in these areas. Conclusion When the psoas muscle injury occurred in the third lumbar vertebral transverse process, the pain not only happens in the local area, but also to the inner side of the thigh along the muscle. This is the cause that the lumbocrural pain rises from the psoas muscle injury.
[Keywords] Psoas muscle; Injury, Pain
腰大肌损伤并不鲜见。但临床上因腰大肌损伤而引起腰腿痛的报道并不多见。临床曾分析了1200例腰腿痛的发病原因，其中629例为软组织损伤引起的腰腿痛病例，但无一例腰大肌损伤的报道记载[1]。由于腰大肌解剖位置的特殊给临床诊断和治疗带来一定困难。由腰大肌引发的腰腿痛从病因和临床症状来分析都不同于常见的坐骨神经性腰腿痛，是一种特殊类型腰腿痛[2]。如对此发病机理认识不足，容易误诊 ......
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