摘要
目前对于颈椎椎前软组织阴影放射学测量的诊断学价值尚存在不同意见.作者对107名颈椎损伤患者的颈椎X线片进行回顾性分析,结果有47例出现颈椎椎前软组织阴影增宽,占43.9%.其中颈椎骨性损伤患者中有38例,非骨性损伤患者中有9例,其差异具有显著的统计学意义(P<0.05).在不同节段颈椎损伤以及不同程度脊髓损伤患者之间统计学差异均不显著(P>0.05).而在颈椎前部结构损伤患者中椎前软组织阴影增宽的比例则明显高于后部结构损伤患者(P<0.05).作者认为,颈椎椎前软组织的放射学测量对于颈椎损伤的诊断显然具有一定的局限性.
The significance of radiographic measurement of prevertebral soft tissue in the diagnosis of the cervical spine injuries remains debated. A group of 107 patients with suspected injuries of the cervical vertebrae was reviewed retrospectively. Prevertebral soft tissue swelling occured in 47(43. 9 percent)patients. Of the 47 patients ,38 were found with bony injury and 9 were without. The statistic difference was significant(P<0. 05). No correlation was demonstrated between soft tissue swelling and either the injured level of the cervical vertebrae or the degree of the spinal cord injury(P>0. 05). Anterior element injuries in the cervical vertebrae had widen prevertebral soft tissue than posterior element injuries(P<0. 05). The diagnostic value of prevertebral soft tissue swelling for cervical spine injuries is limited.
出处
《骨与关节损伤杂志》
1995年第6期330-332,共3页
The Journal of Bone and Joint Injury
