急性无骨折脱位型颈髓损伤MRI临床诊断分析

Clinical analysis of MRI in diagnosis of acute cervical spinal cord injury without fracture and dislocation

目的:探讨和分析在急性无骨折脱位型颈髓损伤患者诊断中,应用核磁共振成像(MRI)的临床意义。方法:以急性无骨折脱位型颈髓损伤患者60例作为观察对象,先采用CT与X射线检查,没有检查出骨折受损病例,再使用核磁共振成像进行检查,发现患者存在颈髓损伤状况。结果:这60例患者中,通过MRI检查,脊髓信号没有出现任何异常的有9例,髓内检查出水肿有30例,髓内存在出血现象有13例,脊髓呈现囊性变化8例;脊髓形态出现萎缩有19例,颈髓发生肿胀20例,脊髓受到外力压迫有21例,两次检查差异具有统计学意义(P<0.05)。结论:急性无骨折脱位型颈髓损伤应用MRI诊断效果明显,值得临床借鉴和推广。

Objective： To investigate and analyze clinical significance of MRI in diagnosis of acute cervical spinal cord injurywithout fracture and dislocation. Methods： 60 cases with acute cervical spinal cord injury without fracture and dislocation were used asthe observation object, and they firstly examined by CT and X ray; if no fracture damages were detected, then the cases were examinedby MRI to find cervical spinal cord injury. Results： Of the 60 patients, through MRI, 9 cases had no abnormal spinal cord signal, 30cases had edema through intramedullary check out, 13 cases had intramedullary hemorrhage, 8 cases had cystic changes, 19 cases hadthe morphology of spinal cord atrophy, 20 cases had cervical spinal cord swelling, and 21 cases suffered from spinal cord by the exter-nal pressure, and the differences between the two examinations were statistically significant （P〈0. 05）. Conclusions： MRI in the di-agnosis of acute cervical spinal cord injury without fracture and dislocation is significant in clinical efficacy, and is worthy of clinicalreference and promotion.