过伸性颈椎损伤的早期诊断和治疗(附23例报告)  

EARLY DIAGNOSIS AND TREATMENT OF HYPEREXTENSION INJURY OF CERVICAL VERTEBRA: A REPORT OF 23 CA-SES

作　　者：夏长所[1] 邹云雯[1] 叶发刚[1] 

机构地区：[1]青岛大学医学院附属医院创伤外科,山东青岛266003

出　　处：《齐鲁医学杂志》2003年第3期299-300,共2页Medical Journal of Qilu

摘　　要：①目的　探讨颈椎过伸性损伤的早期诊断和治疗方法。②方法　回顾 2 3例颈椎过伸性损伤病人的临床资料 ,分析其病史、临床表现、X线片、MRI等诊断依据 ,总结手术和保守治疗的效果。③结果　所有病人MRI均显示有不同的病理改变 ,以前纵韧带断裂、椎间盘水平撕裂、椎间盘突出、脊髓压迫及水肿为突出特点。④结论MRI是颈椎过伸性损伤早期检查的重要手段 。Objective To study the early diagnosis and treatment of hyperextension injury of cervical vertebra. Methods Clinical data, including clinical manifestations, X-ray films, MRI and treatment outcomes, of 23 patients with hyperextension injury were retrospectively analyzed. Results Abnormal changes were detected by MRI in all cases, the main changes were rupture of anterior longitudinal ligament, horizontal tear of disc, protrusion, compression and edema of spinal cord. Conclusion MRI is an important means of early examination for hyperextension injury of cervical vertebra. Both operation and conservative treatment are conducive to the recovery of the injury.

关 键 词：过伸性颈椎损伤 早期诊断 治疗 临床表现 X线片 MRI 

分 类 号：R651.2[医药卫生—外科学]