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颈椎不稳症的影像诊断(附50例报告)
引用本文:吴文泽,向燕萍,周文辉,谭国卫,刘佩武,刘四斌. 颈椎不稳症的影像诊断(附50例报告)[J]. 实用医学影像杂志, 2007, 8(4): 239-241
作者姓名:吴文泽  向燕萍  周文辉  谭国卫  刘佩武  刘四斌
作者单位:1. 华中科技大学附属荆州医院影像中心,湖北,荆州,434020
2. 湖北省荆州市沙市区妇幼保健院
摘    要:目的探讨颈椎不稳症的影像学诊断。方法回顾性分析50例经临床证实的颈椎不稳症患者的X线平片、CT和MRI检查资料。结果50例中上颈椎不稳16例,其中,寰枕关节不稳2例,表现为枕底—齿突线和斜坡—齿突线不连续,14例为寰枢关节不稳,其中,寰枢关节脱位7例;下颈椎不稳34例,其中,前屈不稳20例,后伸不稳14例。结论X线平片、CT和MRI综合分析能对颈椎不稳症作出准确的诊断。

关 键 词:颈椎不稳症  X线平片  体层摄影术,X-线计算机  磁共振成像
文章编号:1009-6817(2007)04-0239-03
修稿时间:2006-09-08

Imaging diagnosis of cervical spine instability: a report of 50 cases
Wu Wenze,Xiang Yanping,Zhou Wenhui,Tan Guowei,Liu Peiwu,Liu Sibin. Imaging diagnosis of cervical spine instability: a report of 50 cases[J]. Journal of Practical Medical Imaging, 2007, 8(4): 239-241
Authors:Wu Wenze  Xiang Yanping  Zhou Wenhui  Tan Guowei  Liu Peiwu  Liu Sibin
Affiliation:Department of Medical Imaging, Affiliated Jingzhou Hospital of Huazhong Science - Technology University, Jingzhoushi 434020, China
Abstract:Objective To explore the imaging findings of cervical spine instability(CSI)on X-ray plain film,CT and MR images.Methods Fifty patients with clinically proved SCI whose imaging data of X-ray plain film,CT and MRI were retrospectively analyzed.Results Among 50 cases,upper SCI was found in 16 cases who comprised 2 atlantooccipital joint instability appeared as non-continuation of occipital base-odontoid process line and declivity-odontoid process line and 14 atlantoaxial joint instability in which 7 had atlanto-axial joint dislocation,while lower CSI was found in 34 cases who comprised 20 anteflexion instability and 14 backward extension instability.Conclusion The comprehensive analysis of X-ray plain film,CT and MRI can make a definite diagnosis of CSI.
Keywords:Cervical spine instability   X - ray plain film   Tomography, X - ray computed   Magnetic resonance imaging
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