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脊柱骨折三种X线检查方法的临床对比研究
引用本文:刘康,何智勇,李青,曾毅军,李良才.脊柱骨折三种X线检查方法的临床对比研究[J].中国医师杂志,2004,6(11):1511-1512.
作者姓名:刘康  何智勇  李青  曾毅军  李良才
作者单位:广东省中山市人民医院骨科,广东,中山,528403
摘    要:目的 评价X线平片、CT、三维CT在脊柱骨折检查中的临床应用价值。方法 对 40例脊柱骨折患者进行X线平片、CT、三维CT检查。比较它们发现突入椎管骨块数目 ,利用三维CT计算骨块的椎管矢状径占有率、指导治疗方案确定 ,随访所有患者的术后效果。结果 发现突入椎管骨块数目的优势顺序是 :三维CT >CT >X线平片 ,三维CT能高清晰、立体显示椎管结构 ,随访所有患者术后效果良好。结论 虽然X线平片、CT、三维CT三者之间有互补性 ,但三维CT对脊柱骨折的椎管重建有显著的优越性。

关 键 词:三维CT  脊柱骨折  椎管  X线平片  患者  临床对比研究  随访  结论  指导  目的
修稿时间:2004年1月29日

The Clinical Contrast Study of Three X-ray Check Methods of Spinal Fracture
LIU Kang,HE Zhi-yong,LI Qing,et al..The Clinical Contrast Study of Three X-ray Check Methods of Spinal Fracture[J].Journal of Chinese Physician,2004,6(11):1511-1512.
Authors:LIU Kang  HE Zhi-yong  LI Qing  
Institution:LIU Kang,HE Zhi-yong,LI Qing,et al. Department of Orthorpaedics,People's Hospital of Zhongshan City,Zhongshan 528403,China
Abstract:Objective To evaluate the clinical application value of X-ray plane film, CT, and three-dimensional CT in detecting the spinal fracture. Methods Forty patients with spinal fracture were checked by X-ray plane film, CT, and three-dimensional CT. The number of bone fragments prolapsing into spinal canal which was found by three detection methods, was compared. The share ratio of the bone fragment in spinal canal in sagittal plane was calculated using three-dimensional CT to instruct making treatment strategy. The postoperative efficacy of all patients was followed up. Results The order of the advantage of finding bone fragments was three-dimensional CT>CT>X-ray plane film. Three-dimensional CT could show the three-dimensional structure of spinal canal clearly. The postoperative efficacy of all patients was satisfactory. Conclusion The three checking methods of spinal fracture were complementary to each other, but three-dimensional CT had the advantage in reconstructing spinal canal.
Keywords:Spinal canal  Three-dimensional CT  CT  X-ray plane film  Reconstruction
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