多层螺旋CT在上颈椎损伤中的诊断价值  

Clinical application of MSCT in upper cervicales trauma

作　　者：贺伟浩 贡琪[1] 

机构地区：[1]江苏省丹阳市人民医院,212300

出　　处：《中国医学创新》2011年第32期91-93,共3页Medical Innovation of China

摘　　要：目的探讨多层螺旋CT（MSCT）三维及多平面重建在上颈椎损伤中的临床应用价值。方法25例上颈椎损伤患者，采用MSCT3～5mm扫描、1．0mm重建后作三维及多平面重建。结果上颈椎椎体骨折18例，其中齿状突骨折6例，环枢关节脱位7例，其中环齿关节脱位6例，单纯枢椎旋转脱位1例。结论螺旋CT三维及多平面重建能明确显示上颈椎骨折、脱位情况，有助于临床及时准确地制订治疗方案。Objective To explore the clinical application value of 3 - dimensional and multiplanter reconstruction with MSCT in diagnosing upper cervicales trauma. Methods 25 cases with upper cervicales trauma were processed with sha- ded surface display（SSD） and multiplaner reconstructions（ MPR）, collimation was 3 -5 mm, reconstruction interval 1.0 mm. Results There were 18 cases of cervicales fracture and 7 cases of atlantoaxial dislocation including 6 cases of atlantoaxial ro- tatory dislocation and 1 cases of accompanying atlantoaxial rotatory - impacted dislocation. Conclusion SSD and MPR with spiral CT can display distinctly upper cervicales fracture, dislocation and injury of spinalcanal and spinal cord. There are help- ful for planning treatment protocol.

关 键 词：上颈椎 三维 多平面重建 X线计算机 

分 类 号：R683.2[医药卫生—骨科学]