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上颈椎损伤的CT诊断
引用本文:郑金龙,韩萍,史河水,吴红英,田志梁,李友林.上颈椎损伤的CT诊断[J].实用放射学杂志,2001,17(12):989-991.
作者姓名:郑金龙  韩萍  史河水  吴红英  田志梁  李友林
作者单位:华中科技大学同济医学院附属协和医院放射科,
摘    要:目的探讨CT对上颈椎损伤的诊断价值.方法19例上颈椎损伤患者,男14例,女5例,年龄9~49岁,平均23岁.采用螺旋CT行薄层扫描,必要时作三维表面重建,或多平面重建.结果椎体骨折13例,环枢关节脱位10例,其中环齿关节脱位7例,单纯枢椎旋转脱位2例,另1例为环椎旋转脱位合并环枢椎嵌插交锁固定.结论CT能明确显示上颈椎骨折、脱位,椎管及脊髓损伤情况,有助于临床及时准确地制订治疗方案.

关 键 词:上颈椎损伤  体层摄影  X线计算机
文章编号:1002-1671(2001)12-0989-03
修稿时间:2000年12月29

CT Features of Upper Cervicales Trauma
ZHENG Jin-long,HAN Ping,SHI He-shui,WU Hong-ying,TIAN Zhi-liang,LI You-lin.CT Features of Upper Cervicales Trauma[J].Journal of Practical Radiology,2001,17(12):989-991.
Authors:ZHENG Jin-long  HAN Ping  SHI He-shui  WU Hong-ying  TIAN Zhi-liang  LI You-lin
Abstract:Objective To evaluate CT in diagnosing upper cervicales trauma.Methods Axial CT scanning with thinner collimation performed in 19 cases with upper cervicales trauma.Three-dimensional images with part patients were obtained by surface shaded display(SSD)and multiplanar reconstructions(MPR).Results There were 13 cases of cervicales fracture,10 cases of atlantoaxial dislocation,including 2 cases of atlantoaxial rotatory dislocation and 1 case of accompanying atlantoaxial rotatory-impacted dislocation.Conclusion CT can display distinctly upper cervicales fracture,dislocation and injury of spinal canal and spinal cord.These are helpful for planning treatment protocol.
Keywords:upper cervicales trauma  tomography  X-ray computed
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