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胸腰交界区背侧支的外侧皮支。37例解剖学研究。

The lateral cutaneous branches of the dorsal rami of the thoraco-lumbar junction. An anatomical study on 37 dissections.

作者信息

Maigne J Y, Lazareth J P, Guérin Surville H, Maigne R

机构信息

Laboratoire d'Anatomie, UER Pitié-Salpétriène, Paris, France.

出版信息

Surg Radiol Anat. 1989;11(4):289-93. doi: 10.1007/BF02098698.

DOI:10.1007/BF02098698
PMID:2533408
Abstract

Thirty-seven dissections have shown that the skin of the low back is innervated by the lateral branches of the dorsal rami of T12 and LI in 22 cases (60%) or T12 L1 and L2, in 10 cases (27%) or T12 L1 and L2 receiving an anastomosis from L3 in 5 cases (13%). The most medial nerve crossed the iliac crest through a rigid osseo-aponeurotic orifice located 7-8 cm from the midline which was seen compressing the nerve in 2 instances. This pattern of distribution may sometimes explain unilateral low back pain.

摘要

37例解剖显示,22例(60%)下背部皮肤由T12和L1背侧支的外侧分支支配,10例(27%)由T12、L1和L2支配,5例(13%)由T12、L1和L2支配且L3有吻合支。最内侧的神经通过一个距中线7 - 8厘米的坚硬骨 - 腱膜孔穿过髂嵴,在2例中可见该孔压迫神经。这种分布模式有时可能解释单侧下背痛。

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The segmental distribution of the cutaneous nerves in the limbs of man.人类四肢皮肤神经的节段性分布。
Anat Rec. 1948 Dec;102(4):409-37. doi: 10.1002/ar.1091020403.
2
The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerve (sinu-vertebral nerves); with an experimental study of their functions.腰骶部脊神经后支及脊膜支(窦椎神经)的解剖学;及其功能的实验研究
J Bone Joint Surg Am. 1956 Apr;38-A(2):377-91.
3
Low back pain of thoracolumbar origin.
Arch Phys Med Rehabil. 1980 Sep;61(9):389-95.
慢性腰痛:病史、症状、疼痛机制及治疗
Life (Basel). 2024 Jun 27;14(7):812. doi: 10.3390/life14070812.
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Ultrasound-Guided Superior Cluneal Nerve Block: A Narrative Review.超声引导下臀上皮神经阻滞:一项叙述性综述
J Pain Res. 2024 May 22;17:1829-1836. doi: 10.2147/JPR.S462166. eCollection 2024.
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Middle cluneal nerve entrapment sites in the surgical field.手术视野中的中髂肋神经卡压部位。
Acta Neurochir (Wien). 2024 Mar 19;166(1):142. doi: 10.1007/s00701-024-06031-z.
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Identification and decompression of superior cluneal nerve implicated in low back pain.识别和减压牵涉性腰痛的臀上神经。
Acta Neurochir (Wien). 2024 Feb 2;166(1):59. doi: 10.1007/s00701-024-05960-z.
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Medicine (Baltimore). 2023 Jun 9;102(23):e33999. doi: 10.1097/MD.0000000000033999.
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