摘要
目的:探讨针刀松解腰窦椎神经可能的临床价值.方法:选用6具健康成年脊柱腰段标本(其中新鲜冰冻标本3具,防腐标本3具),对其L4/5和L5S,节段单侧椎间孔进行松解,松解完毕后与未松解侧进行对比,观察各椎间孔内腰窦椎神经数量的差异.结果:在松解侧的12个椎间孔中发现35条腰窦椎神经,其中主支2条,副支33条.在未松解的12个椎间孔中发现55条腰窦椎神经,其中主支4条,副支51条.松解侧与未松解侧腰窦椎神经主支数量差异无统计学意义(P＞0.05),副支数量差异有统计学意义(P＜0.05).结论:针刀松解腰窦椎神经可明显减少松解侧腰窦椎神经副支的数量,该研究对针刀松解腰窦椎神经治疗椎间盘源性腰痛的临床应用有一定的参考价值.
Abstract
Objective:To investigate the clinical effectiveness of needle-knife therapy in loosening the sinu-vertebral nerves.Methods:6 healthy adult lumbar spine specimens were selected(including 3 fresh frozen specimens and 3 anticorrosive specimens).The unilateral intervertebral foramina of the L4/5 and L5S1 segments were loosened,which was compared with the unloosened side to find the difference in the number of lumbar sinu-vertebral nerves in each foramen between the two sides.Results:A total of 35 lumbar sinu-vertebral nerves were found in the 12 intervertebral foramina on the loosened side,including 2 primary branches and 33 secondary branches.And 55 lumbar sinu-vertebral nerves were found in the 12 inter-vertebral foramina on the unloosened side,including 4 primary branches and 51 secondary branches.The differences in the number of primary branches of sinu-vertebral nerves between the two sides were not statistically significant(P＞0.05),but there was a statistically significant difference in the number of secondary branches(P＜0.05).Conclusion:The needle-knife therapy in loosening lumbar sinu-vertebral nerves can significantly reduce the number of secondary branches sinu-vertebral nerves on the loosened side.This study may provide a basis for the clinical application of needle-knife therapy of loosening the sinu-vertebral nerves on the treatment of discogenic low back pain.
基金项目
福建省卫生健康委员会医学创新课题(2020CXA060)
国家科技期刊平台
NSTL
万方数据