过伸性颈椎损伤的早期诊断和治疗(附23例报告).PDFVIP

齐鲁医学杂志 2003 年 9 月第 18 卷第 3 期　Med J Qilu , September 2003 , Vol. 18 , No. 3 2·99 · 过伸性颈椎损伤的早期诊断和治疗( 附23 例报告) 夏长所 ,邹云雯 ,叶发刚 (青岛大学医学院附属医院创伤外科 , 山东 青岛　266003) [摘要] 　①目的 　探讨颈椎过伸性损伤的早期诊断和治疗方法。②方法 　回顾 23 例颈椎过伸性损伤病人的 临床资料 ,分析其病史、临床表现、X 线片、MRI 等诊断依据 ,总结手术和保守治疗的效果。③结果 　所有病人 MRI 均显示有不同的病理改变 , 以前纵韧带断裂、椎间盘水平撕裂、椎间盘突出、脊髓压迫及水肿为突出特点。④结论 MRI 是颈椎过伸性损伤早期检查的重要手段 ,保守和手术治疗均有助于损伤的恢复。 [ 关键词] 　颈椎 ;创伤和损伤 ;脊髓损伤 [ 中图分类号] 　R651. 2 　　[文献标识码] 　A 　　[文章编号] (2003) EARLY DIAGNOSIS AND TREATMENT OF HYPEREXTENSION INJURY OF CERVICAL VERTEBRA : A REPORT OF 23 CASES ( XIA Changsuo , ZOU Y unwen , Y E Fagang 　 Department of Orthopaedics , The Affiliated Hospital of Qingdao University Medical College , Qingdao 266003 , China) [ ABSTRACT] 　Objective 　To study the early diagnosis and treatment of hyperextension injur y of cervical vertebra. 　Methods 　 Clinical data , including clinical manifestations , Xray films , MRI and treatment outcomes , of 23 patients with hyperextension injur y were retrospectively analyzed. 　Results 　Abnormal changes were detected by MRI in all cases , the main changes were rupture of anterior lon gitudinal ligament , horizontal tear of disc , protrusion , compression and edema of spinal cord. 　Conclusion MRI is an important means of early examination for hyperextension injur y of cervical vertebra. Both operation and conservative treatment are conducive to the recovery of the injur y. [ KEY WORDS] 　cervical vertebra ; wounds and injuries ; spinal cord injuries 　　颈髓损伤病人 ,多伴有明显的骨折脱位 ,但一些 95. 5 % ,狭窄节段以 C ～C 最为明显。椎前软组织 4 5 颈椎管狭窄的病人 ,遇到颈椎过度伸展性暴力 ,虽然