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目的 探讨螺旋CT扫描在胸腰椎骨折的诊断价值。方法 对 2 1例胸腰椎骨折共 2 6节椎体的SCT结果进行分析。结果 单纯屈曲压缩骨折 6节 ;椎体粉碎压缩骨折 2 0节 ;骨折脱位 2节。其中对中柱及椎管受累的显示率 :SCT分别为 77%及 5 0 % ,优于常规CT 61%及 3 8%。结论 螺旋CT能直观再现胸腰椎骨折的病理解剖全貌 ,为临床准确分类及稳定性判断提供多方面有价值信息。
Objective To investigate the diagnostic value of spiral CT in the diagnosis of thoracolumbar fractures. Methods Twenty - one cases of thoracolumbar fractures in 26 cases of vertebral body SCT results were analyzed. Results Simple buckling compression fractures 6; vertebral crushed compressed fractures 20; fracture dislocation 2. Including the column and spinal canal involvement of the display rate: SCT were 77% and 50%, better than the conventional CT 61% and 38%. Conclusion Spiral CT can directly reflect the anatomy of thoracolumbar fractures and provide valuable information for the accurate classification and stability judgment.