脊柱损伤的CT诊断(附100分析)

CT Diagnosis of Spine Injury (an Analysis of 100 Cases)

目的 :探讨脊柱损伤的CT诊断价值 ;局限性以及临床意义。材料与方法 :对 10 0例脊柱损伤进行回顾性分析。其中男性 6 8例 ,女性 32例 ,平均年龄 35 5岁。结果 :损伤部位 ,颈椎 2 5例 ,胸椎 32例 ,腰椎 4 3例。骨折类型 :屈曲压缩型4 2例 (42 % )、爆裂型 35例 (35 % )、骨折脱位型 14例 (14 % )、安全带型 9例 (9% )。椎管狭窄程度 ;Ⅰ度狭窄 4 2例 ,Ⅱ度狭窄 11例 ,Ⅲ度狭窄 2例 ,无椎管狭窄 4 5例。结论 :CT能正确的评价脊椎损伤的类型 ,了解椎管内受损程度 ,判定脊柱稳定与否 。

Purpose:To study the value of CT diagnosis of spine injury,Its limitation and clinical significance.Materials and Methods:100 Cases of spine injury were reviewed,of which there were 68 males and 32 famales,with a mean age of 35 5.Results:The locations of the injuries;cervical vertebrae in 25 cases,thoracic vertebrae in 32 cases and lumbar vertebrae in 43 cases.The types of fractures:flexion compression in 42 cases(42%),burst in 35 cases (35%),fracture dislocation in 14 cases (14%) and safety belt in 9 cases (9%).The degrees of spinal canal stenosis:Ⅰ° in 42 cases,Ⅱ°in 11 cases,Ⅲ° in 2 cases and no spinal canal stenosis in 42 cases.Conclusion:CT can be used to correctly evaluate the types of spine injury,the degrees of intraspinal injury and the vertebrae stability.It is also a better method for guiding the clinical surgical treatment and evaluating the prognosis.