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We tested the differences of multifidus muscle shape,MRI signal and intramuscular spatia among different age groups with multiple sample comparative sum of ranks Kruskal-Wallis test.

多裂肌形态、信号、肌间隙改变在不同年龄段间的差异应用多样本比较的秩和Kruskal-Wallis检验。

Observation indexes included:(1)lumbar dorsal muscle thickness;(2)ratio of lumbar subcutaneous fat MRI signal to lumbar dorsal muscle MRI signal;(3)multifidus muscle shape,MRI signal and intramuscular spatia.

评价指标包括:(1)腰背肌厚度;(2)皮下脂肪与腰背竖脊肌MR信号比值;(3)多裂肌形态、信号及肌间隙的改变。

As true synovial joints,each facet joint contains a distinct joint space capable of accommodating between 1 and 1.5 ml of fluid, a synovial membrane, hyaline cartilage surfaces, and a fibrous capsule.21 The fibrous capsule of the lumbar facet joint is approximately 1 mm thick and composed mostly of collagenous tissue arranged in a more or less transversefashion to provide maximum resistance to flexion.22,23The joint capsule is thick posteriorly, supported by fibers arising from the multifidus muscle.

作为真正的滑膜关节,每个小关节包含明显的关节间隙,容纳1到1.5ml关节液。小关节由滑膜,透明软骨表面,和纤维囊组成。纤维囊厚约1mm,大部分有白色纤维组成,横向排列,以在屈曲时提供最大的张力。囊的后部很厚,纤维来源与多裂肌。

Puncturing through inside edge of joint is shorter way,the puncturing and anatomic position are complex,operating technique is difficult.

经小关节内侧缘到侧隐窝路径短,但解剖复杂,操作技术有难度;经骶裂孔硬膜囊前间隙法路径长,穿刺及解剖并不复杂,是操作简单的有效方法。

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