摘要
目的探讨胸腰椎骨折的螺旋CT扫描应用价值。方法回顾性分析50例胸腰椎骨折的螺旋CT扫描资料。结果50例72节胸、腰椎骨折中,单椎体骨折36例,多椎体骨折14例,CT诊断准确率98%。以爆裂型骨折(占54%)和压缩型骨折(占36%)多见,三柱受累中以前中柱(占24%)和前中后柱(占56%)多见;椎管狭窄发生率高达58%。结论螺旋CT扫描对胸、腰椎骨折的诊断、分类、判断脊柱失稳,评价脊髓损伤及选择治疗上有十分重要价值。
Objective To evaluate the value of CT scan in thoraco-lumbar fractures. Methods The results of CT scan were reviewed in 50 cases. Results 36 cases are single vertebral body fracture, 14 cases are multiple verterbral body fractures. The accurate of CT diagnosis is 98%. Most of them are the burst fracture（54%） and compressive（36%）. The anterior, middle column （24%） and anterior-middle-posterior column （56%） are commonly injuried. The incidence of verterebral canal stenosis readed 56%. Conclusion CT scan-ning played an important role in the diagnosis, classification, the judgement of spinal instability, the evaluation of spinal cord injury and draw up a treatment plan.
出处
《中国现代医药杂志》
2007年第8期22-23,共2页
Modern Medicine Journal of China
