论文部分内容阅读
收集儿童无放射影像异常脊髓损伤 11例 ,年龄最大 15岁 ,最小 3岁 ,平均 12岁 ;其中 8例中央型脊髓损伤 ,2例前脊髓损伤 ,1例全脊髓损伤 ;行常规 X线平片检查、脊髓造影及 CT扫描未见异常 ;行 MRI检查发现椎旁软组织肿胀及脊髓出血、水肿 ,或者髓内陈旧性软化灶等。建议当临床上发现有无放射影响像异脊髓损伤可能时 ,应首先 MRI检查 ,可明确诊断 ,指导治疗 ,并可跟踪观察之。考虑到儿童发育特点 ,儿童无放射影像异常脊髓损伤应首选保守治疗
Eleven cases of spinal cord injury without radiographic abnormalities were collected, the oldest was 15 years old and the youngest was 3 years old, with an average age of 12 years. Among them, 8 had central spinal cord injury, 2 had spinal cord injury, and 1 had spinal cord injury. Check, myelography and CT scan showed no abnormalities; line MRI examination showed paravertebral soft tissue swelling and spinal cord bleeding, edema, or intramedullary old softening and so on. It is recommended that when clinically found to have radiological effects such as the possibility of isolateral spinal cord injury, MRI examination should be performed first to confirm the diagnosis and guide the treatment and follow up the observation. Taking into account the characteristics of child development, children without radiographic abnormal spinal cord injury should be the preferred conservative treatment