单侧肋椎关节入路椎体成形术的临床解剖分析

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1、19。一240之间，女性则为19。～23。。男性最佳外倾角角度范围为27。一360，由T5～T9逐渐减小，T10一T12又逐渐增大；女性肋椎关节穿刺最佳外倾角度变化幅度为280一350之间，由T5～T9逐渐减小，T10一T12又逐渐增大。T5角度最大，T9则最小。男女左右两侧对比均无显著差异(JD>O．05)；男性与女性：十R比无显著差异(办0．05)；男性与女性上倾角相比无显著差异(P>O．05)。2．经肋椎关节穿刺时，外倾角的安全范围为22。。490之问。3．经肋椎关节穿刺时，T5～T12胸椎棘突旁丌问距为34．25±5-27mm，变化范围

2、31mm一37mm之问，左右侧比较差异无统计学意义(户>0．05)，男女问比较差异无统计学意义(P>0．05)；肋椎关节宽度为11．24±2．35mm，赶右侧比较差异无统计学意义(P>0．05)，男女问比较差异无统计学意义(尸>0．05)。【结论】行单侧中下胸椎椎体成形术时，经肋椎关节穿刺是安全可行的。【关键词】椎体成形术；椎体；角度；微创AnatomicaIStudyOntheCIinicalVbrtebropIastyPuncturingthroughtheUniIateraIRibVbrtebralJoint【ObjectiVe】Abst

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