脊椎地震伤的影像诊断价值

目的：探讨脊椎地震伤的影像诊断价值。方法：回顾性分析22例脊椎地震伤的影像学及临床资料，22例患者均行X线检查，20例行CT检查，15例行MRI检查。结果：影像学检查均能明确诊断，脊椎压缩骨折20例，爆裂性骨折2例。单发椎体骨折12例，多发椎体骨折10例，共累及31个椎体。31个椎体骨折中，颈椎3个，胸椎12个，腰椎14个，骶椎2个。结论：影像学检查有利于脊椎地震伤的及时准确诊断和治疗方式的选择。

Imaging diagnosis of the vertebral injury in earthquake

Objective: To explore the clinical value of imaging diagnosis of the vertebral injury in earthquake. Methods: Twenty-two cases of the vertebral injury in earthquake with clinical and imaging data were analyzed retrospectively. All of the cases were performed X-ray plain film examination,CT in 20 cases and MRI in 15 cases. Results: Imaging examination can establish definitive diagnosis in all cases. In the 22 cases,the vertebral compression fracture was found in 20 cases,and vertebral bursting fracture in 2 cases,single-level vertebral fracture in 12 case,and multiple-level vertebral fracture in 10 case. Among the 31 vertebral bodies of fracture,the fracture of cervical vertebra,thoracic vertebra,lumbar vertebra and sacral vertebra was found in 3,12,14,2 vertebral bodies,respectively. Conclusion: Imaging examination is the most valuable examination method in diagnosis of the vertebral injury in earthquake. It can not only make definitive diagnosis,but also play an important role in selection of therapeutic method.