寰枢关节脱位的影像诊断.pdfVIP

国际医学放射学杂志 International Journal of Medical Radiology 20 17 July； 40(4) ：441-449 ·运动损伤专题· 图文讲座 寰枢关节脱位的影像诊断 周春香 孟悛非 【摘要 】 寰枢椎脱位是较为常见的上颈部创伤 ，若不及时诊断治疗常进行性加重 ，压迫颈髓危及生命 。 日常 工作中常因对寰枢椎旋转脱位影像特征认识不足而导致误诊 、漏诊 ，延误治疗 。 鉴于此 ，从齿突距寰椎两侧块间距 （寰齿间距 ），双寰椎侧块冠状面形态 、大小 ，双侧寰枢椎侧块间隙 ，双侧侧块上下关节面关系及齿突距寰椎前结节 间距（寰齿前间隙 ）等 5 方面分析寰枢椎相对关系 ，准确认识寰枢椎正常中立静止状态 、相对水平移动 、正常旋转 时 X 线及 CT 表现 ，以及寰枢椎各类型脱位时 X 线及 CT 特征 ，提高诊断准确率 。 【关键词 】 寰枢关节 ；旋转 ；脱位 ；齿突侧块间距 ；寰枢椎侧块间隙 ；寰齿前间隙 ；体层摄影术 ，X 线计算机 中图分类号：R684.7 ；R445 文献标志码 ：A The imaging diagnosis of atlantoaxial joint dislocation ZHOU Chunxiang ，MENG Quanfei. Department of Radiology,Sun Yat-sen University First Affiliated Hospital,Guangzhou 510080,China 【Abstract 】 Atlantoaxial dislocation is more common in the upper neck trauma, failed to timely diagnosis and treat- ment often progression, oppressive cervical spinal life-threatening. Daily work, common due to insufficient understanding of imaging findings of atlantoaxial rotatory subluxation and lead to misdiagnosis and missed diagnosis, delay treatment. In view of this, accurate understanding of X-ray and CT manifestations, on five points of lateral atlantodental space , bilateral lateral shape and size in coranary plane, bilateral atlantoaxial lateral space, bilateral lateral joint relations, and atlanto-den- tal interval, of the normal atlantoaxial vertebral neutral position, relative parallel translation and the normal rotation, the atlantoaxial dislocation in various types ，help to improve the diagnostic accuracy. 【Keywords 】 Atlantoaxial joint ；Rotatory ；Dislocation ；Lateral atlanto -dental space ；Atlantoaxial lateral space ； Atlanto-denta