| 胸腰段脊椎爆裂骨折的CT诊断 |
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| 引用本文： | 白秋利,周诚,. 胸腰段脊椎爆裂骨折的CT诊断[J]. 放射学实践, 2009, 24(9): 1040-1043 |
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| 作者姓名： | 白秋利 周诚 |
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| 作者单位： | 1. 北京市平谷区中医医院放射科,北京,101200
2. 卫生部北京医院放射科,北京,100730 |
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| 摘 要： | 目的:探讨螺旋CT在胸腰段脊椎爆裂性骨折诊断中的价值.方法:回顾性分析45例63个脊椎爆裂性骨折的X线及螺旋CT影像资料.结果:63个椎体爆裂骨折中累及Th12～L2共52个椎体,占总数的82.54%,L1受累最高,达30个椎体,占47.62%;椎管狭窄的程度与神经损伤的关系为骨折部位越高、椎管狭窄程度越严重,发生神经损伤的可能性越大.结论:螺旋CT扫描结合MPR、SSD能很好地显示脊椎三柱解剖结构、爆裂骨折和椎管狭窄的程度,是诊断胸腰椎爆裂骨折的重要方法,对临床制订治疗方案起着重要的指导作用.
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| 关 键 词： | 脊柱 体层摄影术 X线计算机 图像处理 计算机辅助 |
CT Diagnosis of Burst Fractures of Thoraco-lumbar Spine |
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| BAI Qiu-li,ZHOU Chen. CT Diagnosis of Burst Fractures of Thoraco-lumbar Spine[J]. Radiologic Practice, 2009, 24(9): 1040-1043 |
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| Authors: | BAI Qiu-li ZHOU Chen |
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| Affiliation: | BAI Qiu-li,ZHOU Chen.Department of Radiology,Pinggu District of Beijing Chinese Medicine Hospital,Beijing 101200,P.R.China |
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| Abstract: | Objective:To evaluate spiral CT in the diagnosis of burst fracture of thoraco-lumbar spine.Methods:The radiographic and CT features of vertebral burst fracture in 45 patients(63 vertebrae involved) were analyzed retrospectively.Results:A total of 63 vertebrae showed burst fracture,of which Th12 to L2 were involved in 52 vertebrae(82.54%).L1 vertebral bone had the highest rate of involvement(30 vertebrae,47.62%).The higher the position of fracture and the more severe the degree of spinal canal stenosis,there... |
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| Keywords: | Spiral fracture Tomography X-ray computed Image processing computer-assisted |
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