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螺旋CT重建在胸腰椎骨折诊断和治疗中的应用价值
引用本文:黄长明,陈勇,颜志平,沈瑞群,王建雄. 螺旋CT重建在胸腰椎骨折诊断和治疗中的应用价值[J]. 颈腰痛杂志, 2003, 24(3): 151-153
作者姓名:黄长明  陈勇  颜志平  沈瑞群  王建雄
作者单位:1. 解放军第174医院骨科,福建,厦门,361003
2. 解放军第174医院放射科,福建,厦门,361003
摘    要:目的 探讨螺旋CT重建在胸腰椎骨折患者诊断和治疗中的应用价值。方法 前瞻性分析了2001年6月至2002年3月对25例胸腰椎骨折患者进行三维CT扫描重建情况。其中男16例,女9例。年龄19—86岁,平均35.6岁。车祸伤10例,高处坠落15例。25例均行X线平片、普通CT、二维及三维CT重建检查。结果 单纯性压缩骨折12例,爆裂性骨折13例,其中合并椎管轻度狭窄3例,中度狭窄6例,重度狭窄4例,脊椎滑脱3例。结论 螺旋CT重建有利于胸腰椎骨折分型、早期诊断、手术治疗和治疗效果评价。

关 键 词:螺旋CT 胸腰椎骨折 影像学诊断 手术治疗
文章编号:1005-7234(2003)03-0151-03
修稿时间:2002-10-02

The evaluation of diagnosis and treatment of thoracolumbar fractures with spriral computed tomography
HUANG Chang-ming,CHEN Yong,YAN Zi-ping,et al.. The evaluation of diagnosis and treatment of thoracolumbar fractures with spriral computed tomography[J]. The Journal of Cervicodynia and Lumbodynia, 2003, 24(3): 151-153
Authors:HUANG Chang-ming  CHEN Yong  YAN Zi-ping  et al.
Abstract:Objective To explore the value of spiral computed tomography(SCT) in diagnosis and treatment for thoracolumbar fractures.Methods 18 patients with thoracolumbar fractures were examined preoperatively under X-ray,CT scan and two-dimensional computed tomography reconstruction(2-DCT) and three-dimensional computed tomography reconstruction(3-DCT) during June,2001 to March,2002. There were 16 men and 9 women, with an average age of 35.6 years(average,19 to 86 years). The causes of the injuries were motorcycle crashes for 10 cases and falls for 15 cases.Results Spinal body wedge fractures 12 cases, burst fractures 13 cases.10 cases underwent operation.Conclusion Spiral computed tomography plays an important role in classificating and early diagnosing of thoracolumbar fractures and design of operative method and evaluating result after operation.
Keywords:spine  fracture  tomography   X-ray computed
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