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ID:36628822
大小:1.04 MB
页数:47页
时间:2019-05-13
《旋转手法治疗椎动脉型颈椎病的应用解剖及流体力学实验研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、兰州医学院硕士学位论文旋转手法治疗椎动脉型颈椎病的应用解剖及流体力学实验研究姓名:刘兵申请学位级别:硕士专业:人体解剖学指导教师:戴玉景;宋炎峰2002.3.1旋转手法治疗椎动脉型颈椎病的应用解剖及流体力学实验研究中文摘要目的:为旋转手法治疗椎动脉型颈椎病(CSA)提供应用解剖学基础及流体力学实验研究。方法:1.在31具成人尸体标本上,对颈椎、椎动脉进行观察和测量。2.在选取的2具新鲜成人尸体标本上进行流体力学实验研究。结果:1.观察及测量结果:①椎动脉起始部管径左侧>右侧。(多左、右椎动脉起始部至C6横突孔间距无差别
2、。③93.55%的椎动脉进入C6横突孑L,其余(各占3.23%)进入C4、C5。椎动脉在胸廓内动脉内侧发出者占54.84%;对侧占22.58%;甲状颈干与椎动脉共干、甲状颈干与胸廓内动脉共干各占6.45%;3支血管共干占9.68%。④两侧椎动脉间距在C2处最:≮,C5处最小。⑤椎动脉与C2一C3椎问盘外侧缘的距离最大。⑥颈椎横突孔高度:C5、C6>C2、C3,C6>C4>C3;上下颈椎潢突孔间距:C2>C3、C4、C5、C6。⑦各颈椎问盘厚度:C5、C6>C2、C3:C5>C4。2.流体力学实验研究结果:前屈位致双测椎
3、动脉引流管滴数减少。旋转颈椎超过一定角度时,双侧椎动脉引流管滴数出现下降,至旋转极限时,甚至完全停止。结论:①旋转手法治疗CSA时,要根据双侧椎动脉病变程度,是否存在共干对旋转方向,手法轻重进行适当调整。②旋转手法对Cl、C2、c5发病部位疗效较好。⑧对下段颈椎病变、双侧椎动脉均发生病变等情况,手法方式要进行适当调整,应避免蛮力大角度的操作。:关键词:旋转手法颈椎病应用解剖流体力学AppliedAnatomyofCervicalSpondylosisoftheVertebralArteryXype(CSA)Treate
4、dwithRotationManipulationandHydromechanicsExperimentalStudy【AbstractIObjective:ToprovideappliedatlatomybasisandmakehydromechanicsexperimentalstudyfortreatmentofCSAwithrotationmanipulation.Methods:@CervicalVertebraandvertebralartery(VA)wereobservedandmeasuredon31
5、adultcadaverssample.②Weselectedtwonewly—diedadultcadaverssampleandmadehydromechanicsexperimantalstudy.Resultes:observedandmeasured:@TheleftsidesoftheexternaldiameterofVAatstarting—pointwasbiggerthanitsrightsides.@Therewerenodifierencebetweenthebothsides泌丞thedist
6、ancefrom镪starting-pointtoC6transverseforamen.⑨93.55%ofVAenteredintoC6transverseforamen(TF),therest(eachaccountfor3.23%)enteredintoC5andC4TF.54.84%VAdepartedfromtheinsideofthoracicinternalartery,22.58%VAfromitsoppositesides,theCO—vesselofVA—truncusthyrocervicalis
7、andthoracicinternalartery—tB.1ncusthyrocervicaliseachaccountfor6.45%.TheCO.vesselofthreearteriesfor9.68%.@Themax3distancebetweenbothsidesofVAexistedinC2,TheminimunisinC5.⑤ThebiggestbetweenVAtotheLateralborderofintervertebraldiscisintheC2一C3intervertebraldisc:@Th
8、eheightoftransverseforamen:C5、C6>C2、C3,C6>C4>C3,ThebetweenuppertransverseforamentoLowerone:C1.2>C2.”C3-4、C4.5、C5.6.@Cervicaldiscthicknessrelationsasfollows:C5.6,C6.7>
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