110例脊柱外伤CT及MRI影像诊断对比分析.docVIP

110例脊柱外伤CT及MRI影像诊断对比分析【摘要】 目的 探讨脊柱外伤的CT和MRI影像的表现以及特点，并研究两者在脊柱外伤诊断中的价值与临床意义。方法 收集脊柱外伤患者的CT、MRI资料110例，并对其进行分析。对比分析两者对损伤脊柱的附件骨折、椎体骨折，碎骨片位移、脊髓损伤、脊柱曲度改变、椎管容积改变、韧带损伤、软组织损伤、神经根损伤、椎间盘损伤的诊断效果。结果 （1）CT对发现单纯无变形椎体裂纹骨折与特殊部位的骨折效果明显，对显示椎体、椎弓骨折线和骨折片的移位优于MRI；（2）MRI则对显示脊髓损伤（?P?＜0.05）、韧带损伤（?P?＜0.01）、神经根损伤（?P?＜0.05）、软组织损伤（?P?＜0.05）比CT更敏感、更清晰，与CT比较显示损伤范围更大、更明确。结论 CT、MRI对显示脊柱外伤都有各自的优势和劣势，但MRI对脊柱外伤空间定位比较准确，并可检查出外伤导致的脊髓病变和损伤，因此，联合两种方法能够有效的避免假阴性和假阳性的出现。? 【关键词】 脊柱外伤； CT； MRI； 脊髓损伤?? Comparative study on the diagnose of CT and MRI in 110 cases with spinal trauma ?HUANG Jian-feng, DANG Ye-tian, NING Jin-long, HUANG De-an, GUO Wei. Hezhou Chinese Medicine Hospital, Hezhou 542800, China?? 【Abstract】 Objective To explore the diagnostic value of two routine checking methods, CT and MRI, on Spinal Trauma.Methods To observe and analysis 110 cases with Spinal Trauma?s CT and MRI data accepted and cured. Furthermore, the following items would be compared and analyzed such as accessories fracturerate, centrum fracture, the displacement of the broken bone, spinal cord damage, the change of spinal column curvature, the change of spinal canal volume, ligament injury, soft tissue damage, spinal nerve root damage and intervertebral discs injury.Results (1)CT Imaging was more effective in the discovering the pure no-deformation vertebral crack fracture and special parts fracture than MRI. The centrum, vertebral arch fracture line and fracture bone displacement in CT Imaging was superior to that of MRI imaging. (2)The MRI imaging was more sensitive and clearer than CT Imaging in showing spinal cord damage(?P?＜0.05), ligation damage(??P?＜?0.01), nerve root damage(?P?＜0.05), soft tissue damage(?P?＜0.05) than CT imaging. Meanwhile, compared with CT imaging, the display range was wide and explicit.Conclusion There are both advantages and disadvantages in the display of spinal trauma in CT and MRI imaging. MRI imaging is good at orientation of spinal trauma, which is the best method for checking the spina