【摘要】 目的 :评价小脊椎损伤中影像学检查的价值。材料与方法 :4 6例脊椎损伤病例均进行X线平片 ,CT扫描。椎管受累者 4例进行MRI检查。结果 :X线平片 ,CT证实椎体骨折 17例。颈椎 4例 (寰椎侧块 2例 ,寰椎前结节 1例。C3 椎体左侧横突骨折 1例 )。胸腰椎骨折 13例。其中爆裂型T12 L1骨折 3例 ,L5椎体爆裂型骨折 1例。前者椎管内有多个骨碎片 ,硬膜囊疝形成。椎管指数 2～ 3。后者损伤累及脊椎前、中柱 ,椎管形态异常。②单纯椎体压缩性骨折 9例。③ 4 0例检出腰椎间盘病。其中 36例腰椎间盘膨出症 ,4例为腰椎间盘突出症。④ 4例疑似脊髓、神经损伤又进行了MRI检查。均显示脊髓信号异常。 2例脊髓圆锥受压 ,硬膜囊疝形成。 1例T12 L1脊髓血肿 ,1例脊髓水肿、挫伤。结论 :在小儿脊椎损伤中 ,影像学检查为临床诊断、治疗提供了重要的、有价值的依据。更多还原

【Abstract】 Purpose:To study value of imaging examination in spine injury of child.Materials and Methods:There were picture and CT scan for 46 cases,MRI in intravertebral injury for 4 cases.Results:Picture and CT confirmated fracture of vertebral for 17 cases,There were cervical spine for 4 cases;thoracic-lumbar vertebra for 13 cases;among burst type (T 12 L 1、L 5)for 4 cases.There were simple fracture of vertebral compression in 9 cases.There were prolapse of lumbar intervertebral disc in 40 cases.MRI confirmated signal of injury of spinal cord,there were myeliapopliery、contusion、edema in 4 cases.Conclusion:Imaging examination were a very important role in spine injury of child.更多还原