多层螺旋CT三维重建在颈椎急性损伤诊断中的价值

Value of 3D reconstruction with multi-slice CT in the diagnosis of acute cervical vertebrae injuries

目的探讨螺旋CT对颈椎急性损伤的诊断应用价值。方法回顾分析18例颈椎急性损伤病变的CT三维重建图像,并与轴位螺旋CT图像比较。结果18例颈椎急性损伤病变中,无骨折性寰枢椎脱位5例;颈椎骨折13例,其中并有寰枢椎脱位4例,下颈椎体旋转或/和脱位3例。结论在轴位螺旋CT图像的基础上,利用三维重建图像,有利于颈椎急性损伤的全面准确评价,避免病变的漏诊和误诊。

Objective To study the value of 3D reconstruction with spiral CT in in the diagnosis of acute cervical vertebrae injuries. Methods The images of 3D reconstruction with multi - slice CT of 18 cases of acute cervical vertebrae injuries pathology were analyzed and compared with images of axial CT. Results In the 18 cases, there were 5 cases of upper cervical spine dislocations without fractures, and 13 cases of cervical spinal fractures （ in which 4 cases combined with upper cervical spine dislocations, 3 cases combined with lower cervical spine rotation / dislocation）. Conclusion The application of 3D reconstruction images base on axial spiral CT images, will contribute to accurate evaluation in acute cervical vertebrae injuries, avoiding inaccurate and failing diagnosis.