腰方肌

应用腰方肌筋膜触发点疼痛理论综合治疗腰腿痛：68例分析

Combined therapy for low back pain based on the theory about quadratus lumborum myofascial trigger point pain : an analysis in 68 cases

结论：综合疗法治疗腰方肌筋膜触发点疼痛，可以改善疼痛症状，增强肌肉力量，促进炎症吸收。

CONCLUSION : The combined therapy for quadratus lumborum myofascial trigger point pains is effective in improving pain , strengthening muscle and promoting inflammatory absorption .

经骶棘肌腰方肌间隙行胸腰段脊柱脊髓损伤侧前方减压术

The anterolateral decompression to thoracolumbar spinal cord injury between erector spine

目的：观察牵张和药物综合治疗改善腰方肌筋膜触发点疼痛患者症状的效果。

AIM : To observe the effect of combined therapy with stretch and drugs in relieving quadratus lumborum myofascial trigger point pain of patients .

方法：对16例胸腰椎爆裂型骨折经骶棘肌腰方肌间隙行胸腰椎侧前方减压，同一切口内带血管蒂肋骨瓣椎体间植骨，重建前、中柱。

Method : 16 patients with thoracolumbar burst facture received anterior decompression through the space between erector spine muscles and quadratus lumborum muscles and the vascular pedicle rib graft .

体征主要以腰方肌局限性压痛为主，压痛反应较深，多见第3腰椎横突处压痛明显，多数患者臀中肌处有明显压痛。

Symptoms mainly to the quadratus lumborum limitation tenderness , tenderness response of deep , see more at the transverse process of the third lumbar tenderness obviously , the majority of patients with gluteus medius muscle has apparent tenderness .

结果：侧路穿刺路径由浅入深的主要结构有腰背筋膜中层结构（腹外斜肌、腹内斜肌、腹横肌、腰方肌）、腰背筋膜深层、腰大肌、椎间孔和椎管。

Result : The important structures from outside to inside using lateral puncture were medium structures of lumbodorsal fascia ( obliquus externus abdominis , obliquus internus abdominis , transversus abdominis , lumbar quadrate muscle ), deep lamella of lumbodorsal fascia , greater psoas muscle , intervertebra foramina and vertebral canal .