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胸腰椎骨折的螺旋CT诊断价值

The Diagnostic Significance of Spiral CT on Thoracolumbar Spine Fracture

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【作者】 廖耿辉迟素清

【Author】 LIAO Geng-hui,CHI Su-qing(Longgong District Hospital,Shenzhen 518116,China)

【机构】 深圳市龙岗区中心医院影像科!广东深圳518116

【摘要】 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。

【Abstract】 Objective To study the diagnostic significance of spiral CT(SCT)on thoracolumbar spine fracture.Methods SCT findings of 21 cases(26 vertebrae)of thoracolumbar spine fracture were analysed.Results There were six vertebrae with simple flexible compression fracture,20 vertebrae with fragmental compression fracture and two vertebrae with fracturedislocation.The display rates of involvement of the middle axia and spinal canal were 77% and 50% for SCT,which were much better than routine CT(61% and 38%).Conclusion SCT can be used to directly show the full pathological anatomy of thoracolumbar fracture,in order to obtain more valuable information for clinical classification and stability determination accurately.

【关键词】 脊柱骨折螺旋CT
【Key words】 spinefracturespiral CT
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2001年07期
  • 【分类号】R816.8
  • 【被引频次】6
  • 【下载频次】36
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