正常人寰枢关节间隙的CT研究.pdfVIP

2001 11 5 J Med Imaging Vol . 11 No. 5 2001 CT 郁万江, 孙咏梅, 徐爱德 ( 266003) : CT , : 120 CT , 66 , 56 15~ 25, 30 , 56 15~ 25X CT , : ( ADI) ( LADS) , , 28 , 42. 86% LADS , 57. 14% : CT X , X CT , ; , X ; , : R814. 42; R323. 1 : A : 1006- 9011( 200 1) 05- 0325- 04 The investigation of the atlantoaxial joint space of normal individuals by CT YU Wan-jiang, SUN Yong-mei,X UAi-de.Radiologi- cal Departmont of Aff iliated Hospital, Medical College of ingdao University, ingdao 266003, China Abstract Obj ective:To in estigate the atlantoaxial joint space of normal indi iduals in neutral and functional position using CT . Some related factors were discussed. Methods: 120 normal subjects were examined in neutral position with CT, 66 cases with sagittal and coronal reconstuctions. 56 cases were examined with the head rotating to the right and left respecti ely. 30 of 56 cases were e aluated with the head in tilt and flexion- extension position. 56 cases radiographed in neural and right/ left position at the same time. Then atlanto-dental inter al( ADI) and lateral atlanto-dental space( LADS) were measured and changes of them in functional positions were analyzed. Results: There were differences in ADI of different age groups. As to LADS, the percentage and extent of the space asymmetry of the younger were higher than that of the adult; the percentage of the displasia in atlantoaxial ertebra was higher in the asymmetrical cases.The rotation in the occipita-l atlanto joint were found in 28 cases. Contrary to the results of the plain X-ray, 42. 86% cases with the scans in rotatory posi- tion ha e the trends that the LADS on the same side turned narrow, 57. 14% cases appears to ha e no change. Conclusion: CT has con- siderable alue for the manifestation of the atlantoaxial joint, it s better than plain X-ray in many aspects.The criteria of plain X-ray are inadequate for