脊柱骨折的X线和CT扫描影像对照分析

目的比较和评价常规X线片和CT扫描二种影像学方法在脊柱骨折诊断中的作用.方法对110例X线平片和CT扫描确诊为脊柱骨折的病例进行对照分析.结果110例中椎体骨折共133个,X线侧位片PVBL线67例呈光滑,43例有不同程度异常.CT扫描诊断稳定性骨折53例,不稳定性骨折57例,椎管无狭窄11例,狭窄19例.结论脊柱外伤性骨折影像诊断应注重常规X线平片和CT扫描检查的互补作用.X线片仍是首选检查方法,有利于多个椎体连续或跳跃性同时骨折的检出,发现有椎体骨折均应做CT扫描,以判断骨折的稳定性与并发症情况,有利于临床及时正确处理.

Comparative Analysis of Routine X-ray Film and CT in Evaluation of the Spinal Fracture

Objective:To compare the routine X-ray film and CT scan in diagnosis of spinal fracture.Methods:110 cases of spinal fracture diagnosed by both X-ray radiography and CT scan were compared.Results:110 cases of the spinal fracture with 133 sites of fracture were evaluated,67 cases with smooth PVBL line in pateral radiography,43 cases with irregular PVBL border in different degree,52 cases of CT scan with stable spinal fracture,57 cases with unstable spinal fracture,11 cases without narrowing of spinal canal,19 cases with spinal canal narrowing.Conclusion:The routine X-ray radiography and CT scan are complementing each other for diagnosis of spinal traumatic fracture,X-ray radiography is the first choice,multiple continuous or uncontinuous fractures could be presented better.CT scan is necessary in evaluation of the stability and complications of spinal fracture, It is useful for mangement correctly in time.