颈椎损伤X线与CT诊断.docVIP

颈椎损伤X线与CT诊断 　　【摘要】 目的 探讨常规X线和CT扫描对颈椎损伤的诊断价值。方法 对50例X线和CT诊断为颈椎损伤的病例进行分析。结果 本组50例,受损椎体共60个。低位颈椎骨折并(或)脱位27例,寰椎骨折9例,寰枢椎脱位8例,枢椎骨折6例。X线平片显示椎体后缘联线异常24例,CT片根据脊柱三柱结构诊断不稳定骨折28例,椎管0度狭窄22例,1度狭窄17例,2度狭窄8例,3度狭窄3例。外伤性颈椎间盘脱出10例。结论 对于颈椎损伤的患者,应常规行X线和CT扫描检查,以利于为临床提供更全面可靠的信息。CT能对颈椎损伤做出较全面、准确的诊断,有利于治疗方案的选择,可作为颈椎损伤临床术前诊断和治疗的影像学检查的首选方法。 　　【关键词】 颈椎损伤;X线平片;X线计算机体层摄影术 　　 　　The Diagnosis of X-ray and CT for Cervical Spine Injury 　　HUANG Jing-long,ZHOU Peng,GAO Xue-mei. 　　Department of Radiology,Peoples Hospital of Zhongjiang District,Sichuan,Deyang 618100 China 　　【Abstract】 Objective To evaluate the diagnosis value of X-ray and CT for cervical spine injury.Methods The clinical data of 50 cases of vertebral spine injuries which were neglected due to missed diagnosis were analyzed retrospectively.Results 50 cases with cervical spine injury,among of them,27 cases with fracture and/(or) dislocation of the lower cervical vertebrae,9 cases had atlantal fracture,8 cases had atlantoaxial dislocation and 6 cases had the axoid fracture.24 cases showed abnormality in the lines of vertebral posterior border in the X-ray plain films.28 cases were diagnosed instabitity,22 cases vertebral canal 0°stricture,17 cases Ⅰ°stricture,8 cases Ⅱ°stricture,3 cases Ⅲ°stricture were diagnosed according CT films. 10 cases traumatic cervicales disc herniation.Conclusion X-ray and CT have their own localization for injured cervical vertebraes.We must perform X-ray and CT examination in order to provide overall and reliable information for clinical diagnosis. CT is becoming an indispensible and best modality of choices in the diagnosis of atloaxoid injuries helpful for the surgeon to decide clinical management.The advantages of CT are suggested that this diagnostic modality may be the standard method for the initial evaluation of the cervical spine injury. 　　【Key words】 Cervical Spine Injury; X-ray plain films; X-ray Computed Tomography 　　 　　随着交通伤、坠落伤、暴力或运动伤日益增加,近年颈椎损伤日渐增多,但颈椎损伤的漏诊或延迟诊断率仍达5%～20%[1]。由于脊柱损伤是严重创伤,患