【摘要】 目的　探讨脊柱爆裂性骨折 (简称BF)在普通X线与CT扫描中各自的优势、限度及其价值。方法　通过X线正侧位平片和CT轴位扫描对 43例BF的影像学表现进行分析、对比和总结 ,并予以综合分类。结果　 43例BF中A型 10例 ,B型 15例 ,C型 2例 ,D型 9例 ,E型 7例 ;三柱损伤 34例 ,二柱损伤 9例 ;椎管狭窄 0度 8例 ,Ⅰ°12例 ,Ⅱ°2 3例 ;脊柱后缘线不连续 35例。结论　X线平片对BF的诊断价值在于反映骨折类型 ,脊柱屈曲、错位和后缘线的改变等骨性改变 ;CT扫描的优势是显示骨折线的走行、范围 ,椎管变形及狭窄程度并推测脊髓神经受压和损伤情况。二者紧密结合 ,相互印证 ,综合分析可提高诊断正确率并协助临床设计正确的治疗方案。更多还原

【Abstract】 Objective To study the value of common X-ray and CT scanning in the spinal bursting fracture (abridged English:BF).Methods By the frontal,lateral X-ray film and CT scanning,the imaging manifestations of BF in 43 cases were analysed,contrasted,summarised and classified .Results Among the BF 43 cases,the classifications were type A(10 cases),type B(15 cases),type C(2 cases),type D(9 cases) and type E(7 cases).The three-post injure had 34 cases,the two-post injure had 9 cases,the spinal canal narrowing:0°was 8 cases,1°was 12 cases,2° was 23 cases;the rear spinal edges discontinuation was 35 cases.Conclusion The diagnostic value of X-ray film to BF is reflecting the bones injured change of spinal fracture type,flexion and damaged rear edge.The CT scanning advantage is showing the fracture lines trend,relative scope,degree of spinal canal deformation and narrow,infering the pressed situation and injured spinal cord.The two methods combine and confirm each other in order to help clinical diagnosis the right treating.更多还原