目的研究颈枕部软组织损伤致颈性眩晕的应用解剖及刃针手术入路。方法选取成年尸体的颈枕部(20侧)解剖观测颈枕部浅、深层主要肌肉的形态和起止点,以及椎动脉的行程、枕下三角的组成及内容,并比较成人离体颈椎骨骼标本横突孔内径与入C6横突孔的椎动脉外径。结果横突孔的横径、矢状径都明显大于穿行于C6横突孔内的椎动脉的外径。椎动脉各生理弯曲左右侧的内径、角度数值相当。结论颈性眩晕常因颈枕部软组织损害所致,并且由于头颈部的不同活动致颈枕部肌群张力改变而加重,据此设计合理的刃针手术入路,同时指出术中常见注意事项,供临床参考应用。
ObjectiveTo study the applied anatomy of cervical vertigo due to occipital-cervical soft tissue injury and the approach of operation with knife needle. MethodsThe occipital-cervical region(20 sides)of adult cadavers were dissected to observe the morphology and origins and terminations of the major superficial and deep muscles of occipital-cervical region, the vertebral artery course and the composition and content of the suboccipital triangle, besides, the inner diameter of the transverse foramen were compared with the external diameter of the vertebral artery entering the transverse foramen of C6 in the adult isolated cervical vertebrae specimen. ResultsThe transverse and sagittal diameters of the transverse foramen were significantly larger than the external diameter of the vertebral artery entering the transverse foramen of C6. For the vertebral artery, the left inner diameter and angle of each physiological curvature were equal to right inner diameter and angle respectively. ConclusionCervical vertigo is usually caused by occipital-cervical soft tissue injury, and is aggravated by changes in the tension of the occipital-cervical muscle group due to various head and neck motion. A rational approach of operation with knife needles is designed and the common precautions during the operation are proposed for clinical reference and application accordingly.