| MSCT与MR联合诊断颈椎外伤 |
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| 引用本文： | 潘诗农,李琦,李巍,卢再鸣,郭洪猛,陈志安,廖伟,吴振华,郭启勇.MSCT与MR联合诊断颈椎外伤[J].中国医学影像技术,2008,24(11):1721-1724. |
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| 作者姓名： | 潘诗农 李琦 李巍 卢再鸣 郭洪猛 陈志安 廖伟 吴振华 郭启勇 |
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| 作者单位： | 中国医科大学附属盛京医院放射科,辽宁,沈阳,110004 |
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| 摘 要： | 目的 探讨MSCT与MR联合诊断颈椎外伤的价值.方法 收集54例经手术证实或脊柱外科及放射科共同确诊为颈椎外伤的病例,回顾性分析比较X线平片、MSCT与MR影像特征.结果 ①骨性结构损伤:颈椎骨折伴脱位者33例、无脱位骨折者17例、无骨折脱位4例,其中X线平片、MSCT、MR检出率分别为66.67%、98.15%、83.33%,MSCT与MR联合检出率为98.15%.椎管狭窄0级7例、1级32例、2级14例、3级1例,其中X线平片、MSCT、MR检出率分别为21.28%、74.47%、95.75%,MSCT与MRI联合检出率为100%.依据Denis诊断标准,MSCT诊断c柱或包括c柱在内的两柱或三柱联合受累发生率较高,且骨性椎管多发生狭窄,颈椎处于不稳定状态.②椎间盘、韧带、神经损伤:颈间盘外伤性突出者22例、周围韧带损伤21例、神经损伤2例.③脊髓损伤:MR诊断Ⅰ型25例;Ⅱ型28例;Ⅲ型1例.脊髓受压30例;未受压24例.结论 MSCT与MR在颈椎外伤的诊断中各具优势,二者联合诊断有益于颈椎外伤诊断与合理治疗方案的制定.
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| 关 键 词： | 颈椎 脊髓 创伤和损伤 体层摄影术 X线计算机 磁共振成像 |
| 收稿时间： | 2008/7/18 0:00:00 |
| 修稿时间： | 9/5/2008 12:00:00 AM |
Combination of MSCT and MR in diagnosis of cervical vertebral injury |
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| PAN Shi-nong,LI Qi,LI Wei,LU Zai-ming,GUO Hong-meng,CHEN Zhi-an,LIAO Wei,WU Zhen-hua and GUO Qi-yong.Combination of MSCT and MR in diagnosis of cervical vertebral injury[J].Chinese Journal of Medical Imaging Technology,2008,24(11):1721-1724. |
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| Authors: | PAN Shi-nong LI Qi LI Wei LU Zai-ming GUO Hong-meng CHEN Zhi-an LIAO Wei WU Zhen-hua and GUO Qi-yong |
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| Affiliation: | Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
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| Abstract: | |
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| Keywords: | Cervical vertebrae Spinal cord Wounds and injuries Tomography X-ray computed Magnetic resonance imaging |
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