汶川地震脊柱损伤CT诊断及其价值

目的：分析四川汶川地震脊柱损伤患者CT表现及其价值。方法：对地震发生后近2个月内先后送至四川大学华西医院治疗的148名脊柱外伤伤员，进行脊柱骨折特点CT分析。结果：148例伤员共有341个椎骨骨折，其中颈椎骨折49个，胸椎骨折110个，腰椎骨折179个，骶椎骨折3个。压缩骨折43个，爆裂骨折41个，后柱断裂149个，压缩骨折合并后柱断裂6个，爆裂骨折合并后柱断裂102个，骨折脱位18个。148例脊柱伤员有84例伴发椎管狭窄。结论：CT能准确、快速地对地震脊柱损伤患者进行诊断，为临床治疗起到指导作用。

The Performance and Value About CT of Spinal Injury in Wenchuan Earthquake

Objective：To investigate the imaging features and value about CT of the evacuated spine trauma patients in wenchuan earthquake. Methods：One hundred and forty eight patients within 2 months post-earthquake days were investigated with emphasis on CT finding features about spine in West China Hospital. Results：One hundred and fortyeight patients showed three hundred and forty-one spinal fractures, forty-nine patients in cervical vertebrae, one hun- dred and ten patients in thoracic vertebrae, one hundred and seventy-nine patients in lumbar vertebrae, three patients in sacral vertebrae. There were forty three compression fracture, forty-one burst fracture,one hundred and forty-nine column fracture, six compression fractures after the merger, one hundred and two burst fracture after the merger, eighteen fracture dislocation. The spinal stenosis was found in eighty-four patients. Conclusion： CT can diagnosis spinal injury exactly, quickly and effectively.