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寰枢椎骨折的多排螺旋CT扫描及后处理评价
引用本文:贾宁阳,王晨光,刘光华,万卫平,肖湘生. 寰枢椎骨折的多排螺旋CT扫描及后处理评价[J]. 脊柱外科杂志, 2003, 1(4): 208-211
作者姓名:贾宁阳  王晨光  刘光华  万卫平  肖湘生
作者单位:第二军医大学附属长征医院影像科,中国上海,200003
摘    要:目的 回顾性分析寰枢椎骨折的多排螺旋CT扫描及后处理重建的诊断价值。方法 收集寰枢椎骨折患者4 4例 ,其中寰椎骨折脱位 2 0例 ,枢椎骨折 2 4例 ,所有患者经多排螺旋CT扫描后 ,经MPR与 4D -Angio后处理重建 ,分析不同处理后图象的应用价值。结果 多排螺旋CT及后处理技术可显示骨折部位与类型 ,其MRP与 4D -Angio重建不仅显示寰齿间隙的变化 ,寰齿前间隙的增宽提示横韧带的损伤 ,更可显示齿状突骨折移位的状况。结论 MSCT可清晰评价寰枢椎骨折部位、程度、脱位与否以及骨折类型。

关 键 词:寰枢椎骨折  多层螺旋CT  脱位
文章编号:1672-2957(2003)04-0208-0211-04
收稿时间:2003-07-29
修稿时间:2003-07-29

Evaluation of Atlas-epistropheus diseases with MSCT
JIA Ningyang,WANG Chenguang,LIU Guanghu,WAN Weiping and XIAO Xiangsheng. Evaluation of Atlas-epistropheus diseases with MSCT[J]. Journal of Spinal Surgery, 2003, 1(4): 208-211
Authors:JIA Ningyang  WANG Chenguang  LIU Guanghu  WAN Weiping  XIAO Xiangsheng
Affiliation:Department of Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, China 200003;Department of Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, China 200003;Department of Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, China 200003;Department of Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, China 200003;Department of Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, China 200003
Abstract:Objective The retrospective evaluation intends to demonstrate the advantages of using the Multiple-slice CT (MSCT)for the Atlas-Axis fracture. Methods 22 patients involving the Atlas-Axis fracture and dislocation were scanned by the MSCT. The raw data were post-processed with the Mulitple Plannar Reconstruction(MPR) and the 4 Dimensional-angiotechnique (4D-Angio). Results The MSCT can show not only the location and type of fracture, but also the changes of AO (Atlas-Odontoid) distance and the lesion of transverse ligament of the atlas. Conclusion The MSCT can be used to show the location, dislocation and types of Atlas-Axis fracture, and to evaluate the levels of lesion.
Keywords:atlas axis fracture  dislocation  MSCT
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