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多层螺旋CT三维重建在颈椎急性损伤诊断中的价值
引用本文:陈文清,刘光洪,张武,王澄泉,郑进华. 多层螺旋CT三维重建在颈椎急性损伤诊断中的价值[J]. 海南医学, 2010, 21(7): 95-96
作者姓名:陈文清  刘光洪  张武  王澄泉  郑进华
作者单位:海南省人民医院,海南,海口,570311;海南省人民医院,海南,海口,570311;海南省人民医院,海南,海口,570311;海南省人民医院,海南,海口,570311;海南省人民医院,海南,海口,570311
摘    要:目的探讨螺旋CT对颈椎急性损伤的诊断应用价值。方法回顾分析18例颈椎急性损伤病变的CT三维重建图像,并与轴位螺旋CT图像比较。结果18例颈椎急性损伤病变中,无骨折性寰枢椎脱位5例;颈椎骨折13例,其中并有寰枢椎脱位4例,下颈椎体旋转或/和脱位3例。结论在轴位螺旋CT图像的基础上,利用三维重建图像,有利于颈椎急性损伤的全面准确评价,避免病变的漏诊和误诊。

关 键 词:颈椎  损伤  螺旋CT  三维重建

Value of 3D reconstruction with multi-slice CT in the diagnosis of acute cervical vertebrae injuries
Affiliation:CHEN Wen - qing , LIU Guang - hong , ZHANG Wu , et al.( Department of Radiology, People's Hospital of Hainan Province, Haikou 570311, Hainan , CHINA)
Abstract:Objective To study the value of 3D reconstruction with spiral CT in in the diagnosis of acute cervical vertebrae injuries. Methods The images of 3D reconstruction with multi - slice CT of 18 cases of acute cervical vertebrae injuries pathology were analyzed and compared with images of axial CT. Results In the 18 cases, there were 5 cases of upper cervical spine dislocations without fractures, and 13 cases of cervical spinal fractures ( in which 4 cases combined with upper cervical spine dislocations, 3 cases combined with lower cervical spine rotation / dislocation). Conclusion The application of 3D reconstruction images base on axial spiral CT images, will contribute to accurate evaluation in acute cervical vertebrae injuries, avoiding inaccurate and failing diagnosis.
Keywords:Cervical vertebrate  Injuries  Spiral CT  3D reconstruction
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