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目的探讨脊柱损伤的CT表现及其临床价值。方法分析50例脊柱损伤的CT表现及其与临床的关系。结果50例病例中,单个椎体骨折43例,多个椎体骨折6例,单纯附件骨折1例,骨折合并关节脱位17例,脊髓内血肿5例,髓内硬膜外血肿3例,蛛网膜下腔出血2例,损伤以胸腰段为主20例,占40%,椎管狭窄度:0°32节,I°20节,Ⅱ°4节,III°l节、狭窄率43.9%,神经孔狭窄34个,狭窄率28.9%,脊柱损伤中稳定型32例,不稳定型18例,其中17例手术治疗。32例行保守治疗。结论脊柱损伤的CT检查能对脊柱骨折的分型,骨折的稳定性以及椎管、神经孔的狭窄程度作出正确的判断,对椎管内结构的损伤亦有很重要的意义,对临床治疗方案的选择及预后的估计提供依据。
Objective To investigate the CT findings and clinical value of spinal injury. Methods The CT findings of 50 cases of spinal injury and its relationship with clinic were analyzed. Results Among the 50 cases, 43 cases were single vertebral fractures, 6 vertebral fractures, 1 simple attachment fracture, 17 fractures with dislocation, 5 intraspinal hematoma, 3 intramedullary epidural hematomas, Subdural hemorrhage in 2 cases, damage to the thoracolumbar mainly in 20 cases, accounting for 40%, spinal canal stenosis: 0 ° 32, I ° 20, Ⅱ ° 4, III ° section, the stenosis rate of 43.9% 34 with narrow stenosis rate, 28.9% with stenosis rate, 32 with stable type in spinal injury, 18 with unstable type and 17 with surgical treatment. 32 routine conservative treatment. Conclusion The CT examination of spinal injury can make the correct judgment of the classification of spinal fractures, the stability of fractures, the degree of stenosis of spinal canal and nerve pits and the injury to the structure of spinal canal. The clinical treatment plan The choice and prognosis of the basis for providing estimates.