摘要
目的:探讨MRI和X线平片在诊断颈椎损伤中的优点和缺陷。方法:将MRI和X线平片两种影像学检查诊断颈椎损伤的337病例进行对比分析,其中19例病例MRI C_2区局部轴位薄层无间隔扫描。结果:337例颈椎损伤病例,有骨折脱位的129例,其中19例Hungman(?)骨折,X线平片可得到明确诊断(14.7%),MRI不能获得直接阳性征象(P<0.01)。13例Jefferson(?)骨折,7例齿状突骨折,MRI可获得直接阳性征象(10.1%),X线平片则不能直接反映出骨折(P<0.01)。结论:颈椎损伤的诊断有赖于MRI和X线平片两种影像学检查手段的配合和互补.有部分颈椎骨折脱位不能依赖MRI来完成。
Objective To investigate the merits and limitation of MRI and X-ray examination in diagnosed cervical vertebrae trauma. Methods Three hundred thirty-seven cases of cervical vertebrae trauma were analyzed by MRI and X-ray examination. Ninteen cases were lamellarly scaned C2 section on axis by MRI without interval. Results The demonstrated cervical vertebrae fracture and dislocation was 129 cases in 337 cases cervical vertebrae trauma, 19 cases Hungrnan＇s fracture were proved by X-ray examination （ 14.7% ） without revealed by MRI（ P 〈 0.01 ）, 13 cases Jefferson＇s and 7 cases axoid dentate process fracture proved by MRI examination（ 10.1% ） without revealed by X-ray（ P 〈 0.01 ）, Conclusion Combining MRI and X-ray examination were indispensable to diagnose cervical vertebrae trauma , cervical vertebrae fracture and dislocation werent partly proved by MRI examination.
出处
《实用医技杂志》
2007年第36期4955-4957,共3页
Journal of Practical Medical Techniques
关键词
颈椎损伤
X线平片
MRI
Cervical vertebrae trauma
X-ray plain
MRI
