mri在急性脊髓损伤的诊断、治疗和预后评估中的作用(Role of MRI in the diagnosis, treatment and prognosis evaluation of acute spinal cord injury).docVIP
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mri在急性脊髓损伤的诊断、治疗和预后评估中的作用(Role of MRI in the diagnosis, treatment and prognosis evaluation of acute spinal cord injury)
mri在急性脊髓损伤的诊断、治疗和预后评估中的作用(Role of MRI in the diagnosis, treatment and prognosis evaluation of acute spinal cord injury)
Role of MRI in the diagnosis, treatment and prognosis evaluation of acute spinal cord injury
Update Date: 2010-08-04, Shen Huiyong, Liang Biling, clock mirror, union, Wang Yanbin
Spinal fracture or dislocation associated with spinal cord injury is a very serious trauma. Conventional X-ray and CT scan can clearly diagnose fracture and dislocation, but it can not show spinal cord hematoma, contusion, edema and epidural hematoma. MRI has good soft tissue resolution, and morphological evaluation of spinal cord injury is by far the most advanced method of examination. The author collected from February 1994 to February 1998 in 116 cases of acute spinal cord injury in our hospital underwent MRI (including 53 cases of surgical treatment), analysis of the MRI performance, to explore the role of MRI in the diagnosis of spinal cord injury, treatment and prognosis etc..
Clinical data and methods
1. clinical data: there were 116 males and 28 females, aged 15~68 years, with an average age of 32 years (88 years). Methods: 54 cases of traffic accident injury, 36 cases of falls, injured in 8 cases, other 18 cases. Time of injury to MRI: all cases were in 1 weeks, of which 88 cases were 1~3 days after injury. The injury areas included 48 cases of cervical spine, 22 cases of thoracic vertebrae, 25 cases of thoracic and lumbar vertebrae, 19 cases of lumbar vertebra, and 2 cases of sacral vertebra. The injury types included 62 cases with hyperextension type, 23 cases with hyperextension type, and 31 cases with axial load type.
2.MRI examination: the use of Holland produced T5- II superconducting type MRI. Spin echo sequence and fast spin echo sequence, with spine surface coil, routine SE sequence T1 weighted sagittal and transverse imaging, TR 500 ~ 580 MS, 15 ms TE; SE sequence or SE sequence T2 weighted sagittal and transverse imaging, TR ranged from 2000 to 4000 Ms
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