脊柱椎间孔区的韧带，因颈椎、胸椎、腰椎椎间孔结构的不同，概念也不一致。随着研究学者对不同
节段椎间孔区韧带研究的不断深入，对椎间孔区韧带的本质认识也在发生改变。脊柱椎间孔区韧带概念偏多，
包括体横韧带、椎间孔外韧带、横孔韧带、辐射状韧带、椎间孔韧带等，而且这些概念也并不统一。起初，有学者
研究发现腰椎椎间孔区韧带不对称分布，被认为是人体非正常组织结构，并且与腰腿痛的关系密切; 但近年来，
大部分研究学者已经达成一致，认为脊柱椎间孔区韧带属于人体正常组织结构，但是当发生退变、增生、硬化等，
可能会造成临近神经根的卡压，从而引起相关的临床症状。笔者通过复习相关脊柱椎间孔区韧带的相关文献，
对脊柱椎间孔区韧带的解剖、影像及临床意义方面做一综述，通过解决一些问题来加强对脊柱椎间孔区韧带的
理解与认识。

Objective: Ligaments in the intervertebral foramen area of the spinet，due to cervical，
thoracic， lumbar intervertebral foramen structure， the concept is not consistent．With the deepening of
research on the ligament of intervertebral foramen in different segments， the intrinsic understanding of
ligament in intervertebral foramen is also changing．The concept of ligamentous ligament in the spine is
high， including the transverse ligament， intervertebral foramen ligament， transforaminal ligament， radial
ligament， intervertebral foramen ligament，and these concepts are not uniform． At first，some scholars
found that lumbar intervertebral foramen ligament asymmetric distribution， is considered the body’s abnormal
tissue structure，and it has a close relationship with the lumbar pain; but in recent years，most of
the researchers have reached a consensus that the intervertebral hole ligaments belong to the normal tissue
structure of the human body，but when degeneration，hyperplasia，sclerosis，etc．，may cause the
nerve root near the pressure，causing clinical symptoms．The author through to review relevant literature
intervertebral foramen area ligament of the spine， the intervertebral foramen area ligament of the spine
anatomy， imaging and clinical significance in this paper，by solving some problems to enhance the un-
derstanding of spinal intervertebral foramen area ligament．

Ｒ686．5

 收稿日期: 2018－01－11; 修回日期: 2018－05－13
基金项目: 内蒙古自治区自然科学基金( 2017MS( LH) ) ; 内蒙古自治区人民医院院内基金项目( 201548)
作者简介: 尹松涛( 1990－) ，男，蒙古族，内蒙古医科大学2015 级在读硕士研究生。
通讯作者: 张晓琴，主任医师，E－mail: xiaoqin1498@ 163．com 内蒙古自治区人民医院影像医学科， 010017