过伸性颈椎损伤合并颈椎间盘撕裂伤的影像学诊断  

作　　者：王春雷[1] 徐兆万[2] 庄青山[2] 门阔业[1] 冀旭斌[2] 张在青[1] 

机构地区：[1]潍坊医学院外科学教研室,261042 [2]潍坊医学院附属潍坊市人民医院脊柱外科,261041

出　　处：《当代医学》2011年第13期116-117,共2页Contemporary Medicine

摘　　要：目的探讨过伸性颈椎损伤合并颈椎间盘撕裂伤的影像学诊断。方法选择符合条件的37例患者,入院时均行颈椎X线、CT、MR检查,其中男32例,女5例,年龄24～48岁,平均(29.0±0.4)岁。结果所有患者X线片、CT、MRI均提示不同程度的病理改变,以椎前阴影增宽、椎前间隙增宽、椎间盘突出、脊髓压迫及水肿为突出特点。结论影像学检查可为过伸性颈椎损伤合并颈椎间盘撕裂伤患者的诊断与正确治疗提供依据。Objective To discuss clinical diagnosis of hyperextension cervical spine injury combined with intervertebral disc injury.Methods Thirty-seven patients（32 male,5 females,aged 24 to 48,mean age[29.0±0.4]years） of hyperextension cervical spine injury combined with intervertebral disc injury were enrolled.X-ray,CT and MRI of cervical spine were performed in all patients.Results X-ray,CT and MRI detected followong abnormal pathological changes in all patients： rupture of anterior longitudinal ligament,horizontal tear of disc,intervertebral disc hernia,compression and edema of spinal cord.Conclusion Imaging data provides reliable evidence for the diagnosis,selection of corrected treatments in patients with hyperextension cervical spine injury combined with intervertebral disc injury.

关 键 词：脊髓损伤 椎间盘 颈椎 诊断 

分 类 号：R687.3[医药卫生—骨科学]