髂嵴连线和肋架下缘连线在椎体或并椎间隙中定位的作用及意义.pdfVIP

中国临床解剖学杂志2011 年第 29 卷第 4 期 ·475 · ·临床研究· 髂嵴连线和肋架下缘连线在椎体或 椎间隙中定位的作用及意义 李 珏，张雯君，王寿平，张晓亚， 彭书崚 中山大学孙逸仙纪念医院麻醉科，广州 510120 【摘要】 目的 探讨髂嵴连线和肋架下缘连线作为定位椎体或椎间隙的可行性。 方法 216 例正 常成人，其中男98 例，女118 例，年龄 18～94 岁。均行胸腰骶椎立位X 片和MR SE 序列矢状位片，测定 脊髓圆锥、髂嵴连线和肋架下缘对应的脊椎位置，并利用Reimanm 方法进行量化，所得结果经统计学处 理。 结果 脊髓圆锥、髂嵴连线和肋架下缘连线对应的脊椎位置分别为L1 下三分之一（29.72±2.032）、 L4~5 （16.11±1.192）和L2~3 （24.69±1.909），且后两者男女之间差别有统计学意义，肋架下缘对应的脊椎位置 与年龄之间存在相关性。 结论 立位时，髂嵴连线对应的脊椎位置绝大部分为L 或L ，肋架下缘对应 4~5 4 脊椎位置集中分布于L2~3 ，两者均能用于定位椎间隙的序数；两者结合定位可更好的减少操作风险。 【关键词】脊髓圆锥；髂嵴连线；肋架；脊柱 【中图分类号】R322 ；R614 【文献标识码】A 【文章编号】1001-165X（2011）04-475-03 Evaluation of Tuffiers line and the lowest points of the ribcage on the location of conus medullaris LI Jue, ZHANG Wen-j un, WANG Shou-ping, ZHANG Xiao-ya, PENG Shu-j un Department of Anesthesiology, Sun Yat-Sen Memorial Hospital，Sun Yat-Sen University, Guangzhou 510120, China 【Abstract 】 Obj ective To estimate the level of lumbar spine and the location of conus medullaris, taking the Tuffiers line and the lowest points of the ribcage as the new markers. Methods Simple X-ray and MR (T1-weighted, midline, sagittal, spinecho) of 216 healthy adults (male 98, and female 118), aged from 18 to 94, were performed to assess the position of conus medullaris, according to the guide of the Tuffiers line and the lowest points of the ribcage. This location point was recorded in relation to the upper, middle, or lower third of the adjacent vertebral body or interspace. The data were collected and statistically analyzed. Results Corresponding to the spine, the conus medullaris, Tuffiers line and the lowest points of the ribcage wer