急性胸腰段脊柱脊髓损伤诊断中多种影像的互补作用  

Mutual Benefit of Imagiological Methods in the Acute Truma of Thoracic and Lumbar Spine

作　　者：谭华绣[1] 左勤学[2] 

机构地区：[1]湖南郴州医专附属医院CT室,湖南郴州423000 [2]湖南郴州市第一人民医院MRI室

出　　处：《实用放射学杂志》2002年第3期203-205,共3页Journal of Practical Radiology

摘　　要：目的　讨论各种影像方法在诊断急性胸腰段脊柱和脊髓损伤的优缺点及其互补作用。方法　收集了 12 9例急性胸腰段脊椎损伤病例 ,均有X线和CT材料 ,其中 2 7例有磁共振成像 ,进行比较分析。结果　本组 12 9例 ,14 4个椎体骨折共 15 6个骨折部位 ,其中 84例椎管损伤 ,72例椎管狭窄 ,MRI检查的 2 7个病例均有脊髓损伤。结论　在急性脊柱损伤的诊断中 ,X线平片是基础 ,CT检查可作为补充 ,而MR对脊髓损伤诊断最佳。Objective To discuss the matual benefit of imagiological methods of thoracic and lumbar spine.Methods There were 129 cases with acute truma of thoracic and lambar spine,CT and trditional X-ray wee done in all cases,of them MRI were performed in 27 cases.Results In 129 cases fracturesof the vertebral body were in 144 with totally 156 regicns,of that,84 were injury of spinal canal and 72 were spinal canal stenosis.27 cases performed by MRI,all stewed spinal cord injury.Conclusion In acute truma of the thoracic or lumbar vertebral column, traditional X-ray is a basic method,CT is of mutaral benefi,while MRI is the best to diagnose spinal cord injury.

关 键 词：脊柱 创伤 X线摄影术 磁共振成像 CT 

分 类 号：R681.504[医药卫生—骨科学] R816.8[医药卫生—外科学]