腰椎横突间韧带的解剖学观测及意义

目的　通过对腰椎横突间韧带的解剖学观测，为极外侧型腰椎间盘突出症的手术治疗提供解剖学基础。 方法　15具经防腐固定的成人尸体标本，解剖观测腰椎横突间韧带，用游标卡尺测量其长度、宽度和厚度。 结果　L1~2横突间韧带长度（1.67±0.39）cm，宽度（0.80±0.23）cm，厚度（0.09±0.04）cm；L2~3横突间韧带长度（1.80±0.35）cm，宽度（0.94±0.23）cm，厚度（0.09±0.06）cm；L3~4横突间韧带长度（1.72±0.25）cm，宽度（0.95±0.21）cm，厚度（0.09±0.03）cm；L4~5横突间韧带长度（1.50±0.20）cm，宽度（1.04±0.23）cm，厚度（0.09±0.04）cm。 结论　腰椎横突间韧带为经横突间入路（含内窥镜下）治疗极外侧腰椎间盘突出症的重要解剖学标志，熟悉其解剖形态特点对于此类手术具有重要意义。

The anatomic observation of the lumbar intertranverse ligaments and its signific

Objective　To provide the anatomic data for the surgical treatment of the extreme lateral lumbar disc herniation through the anatomic observation of the lumbar intertranverse ligaments.　Methods　The lumbar intertranverse ligaments were exposed and observed in 15 cases of the adult cadavers. The related data were obtained with vernir caliper.　Results　The length、width and thickness of the lumbar intertranverse ligaments were （1.67±0.39）cm、（0.80±0.23）cm、（0.09±0.04）cm, （1.80±0.35）cm、（0.94±0.23）cm、（0.09±0.06）cm，（1.72±0.25）cm、（0.95±0.21）cm、（0.09±0.03）cm，（1.50±0.20）cm、（1.04±0.23）cm、（0.09±0.04）cm in L1~2、L2~3、L3~4、L4~5 respectively.　Conclusions　The lumbar intertranverse ligaments were the important anatomic landmarks in the surgical treatment of the extreme lateral lumbar disc herniation with lumbar intertransverse approach ( including microendoscopic surgery ). It's important to master the applied anatomy of the lumbar intertranverse ligaments for this kind of surgical treatment.