骶髂关节未经影像学引导下穿刺的解剖学基础

Abstract

Abstract:

Objective　To provide anatomic basis for the feasibility and safety of unguided sacroiliac joint puncture. Methods 3 sacroiliac joint section specimens, 4 dried pelvic specimens (2 male, 2 female) , 4 antiseptic cadaveric pelvic specimens (3 male.1 female) and 62 ankylosing spondylitis patients' sacroiliac joint CT imaging data were collected and measured. The injection target was designated at the sagittal synovium part below the posterior superior iliac spine. Results The average length of sagittal synovium part was about（18.40±3.40）mm in male and （17.32±3.60）mm in female(P>0.05); The average distance between the posterior midline and sagittal synovium part was （41.00±3.30）mm in male and （42.74±4.00）mm in female(P<0.05), with the significant difference; The average distance between the midpoint and posterior superior iliac spine was（27.66±3.10)mm in male and （28.76±3.50）mm in female respectively(P>0.05). Conclusions According to the sex and thickness of fat, conducting injection in the area of （41.00±3.50）mm away from the posterior midline, （28.00±3.20）mm from the posterior superior iliac spine makes puncture entering the sacroiliac joint more accurately, easily, and successfully.

Key words: Sacroiliac joint, Unguided puncture, Sagittal synovium part

CLC Number:

R323.45

JU Yu-Cong, LI Xi-Kai, YANG Xian-Wen, CHEN Run-Qi, XU Cheng-Fu. Anatomy basis of unguided sacroiliac joint puncture[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(3): 275-278.

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Anatomy basis of unguided sacroiliac joint puncture

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