【摘要】 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更多还原

【Abstract】 Eleven cases of spinal cord injuries without radiologic abnormality in children were collected, among which, 8 were central injuries, 2 anterior ones and one total injury. The age ranged from 3 to 15 years(averaged 12). Routine plain X ray films, myelography and CT scan showed no abnormality. MRI presented swelling in paravertebral soft tissues, myelapoplexy, edema or old intramedullary malacic foci. All the cases were treated conservatively with satisfactory results. It is suggested that when spinal cord injury might exist clinically without radiologic abnormality, MRI examination should be done to confirm diagnosis and guide treatment. With childrens developmental features considered, conservative treatment should be chosen for spinal cord injuries without radiologic abnormality.更多还原