颈椎损伤的X线与CT诊断

The Diagnosis of X-ray and CT for Cervicales Trauma

目的 :探讨常规X线和CT扫描对颈椎损伤的诊断价值。材料与方法 :对 38例X线和CT诊断为颈椎损伤的病例进行分析。结果 :受损椎体共 4 6个 ,环椎骨折脱位 5例 ,齿状突骨折移位 3例 ,C3～ 7椎体骨折 (含脱位 )共 30例 ,其中多个椎体连续或跳跃性骨折有 5例。X线平片显示椎体后缘联线异常 2 0例 ,CT片根据脊柱三柱结构诊断不稳定骨折 2 3例 ,椎管 0度狭窄 15例 ,1度狭窄 16例 ,2度狭窄 6例 ,3度狭窄 1例。结论 :对于颈椎损伤的患者 ,由于X线平片和CT扫描均有一定局限性 ,应常规行X线和CT扫描检查 。

Purpose:To evaluate the diagnosis value of X-ray and CT for cervicales trauma.Materials and Methods:38 cases injured cervicales vertebrae were diagnosed and studied.Results:Among 46 injured vertebral bodies,there were 5 cases atlases frctured,3 cases odontoid processes fractured and displaced.30 cases were C 3～7 vertebral bodies fractured (and luxated),there were 5 cases with several vertebral bodies fractured continuously and leaped of them.20 cases showed abnormality in the lines of vertebral posterior border in the X-ray plain films.23 cases were diagnosed instabitity,15 cases vertebral canal 0°stricture,16 cases I°stricture,6 cases Ⅱ° stricture,1 cases Ⅲ° stricture were diagnosed according CT films.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.