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颈椎骨折脱位合并椎动脉损伤 被引量:25

Vertebral artery injuries associated with fracture and dislocation of the cervical spine
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摘要 目的 探讨颈椎骨折脱位与椎动脉损伤的相关性。方法  2 0例闭合性颈椎创伤患者 ,同时接受颈椎MRI和椎动脉磁共振血管成像 (MRA)检查。结果  2 0例闭合性颈椎损伤中 ,5例无椎动脉血流成像 ,均为单侧 ,左侧 2例 ,右侧 3例。其中颈椎骨折 3例 ,单侧小关节脱位 1例 ,无放射影像的异常脊髓损伤 1例。 4例椎动脉损伤患者无任何症状 ,1例有轻度头昏、嗜睡。结论 颈椎骨折脱位可并发椎动脉损伤 ,由于缺乏特异性症状 ,前瞻性MRA检查是最重要的方法。 Objective To elucidate the correlation between vertebral artery injuries and fracture and dislocation of the cervical spine. Methods 20 patients with closed cervical spine injuries had undergone the MRI and magnetic resonance angiography (MRA) of the cervical spine. Results Complete absence of blood flow image due to disruption of the vertebral artery was demonstrated by MRA in 5 of the 20 patients. All happened unilaterally. There were 2 left vertebral artery occlusion and 3 right. Of the five patients with vertebral artery injuries, there were three cervical vertebral fracture, one unilateral facet dislocation, one spinal cord injury without radiagraphic abnormality. Four patients were without any symptoms of vertebral artery insufficiency. One had slight dizziness.Conclusion Cervical spine fracture and dislocation may associate with vertebral artery injuries. MRA is the most important prospective method of detection of this condition which ususlly does not manifest with symptoms of occlusion of the vertebral artery.
作者 任先军
出处 《中华骨科杂志》 CAS CSCD 北大核心 2000年第2期72-74,共3页 Chinese Journal of Orthopaedics
关键词 颈椎骨折 脱位 并发症 椎动脉损伤 Cervical vertebrae Wounds and injuries Vertebral artery Magnetic resonance angiography
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参考文献7

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同被引文献198

  • 1邓天琼,任先军,赵伟峰,蒲渝,周飞舟.双侧椎动脉结扎致颈髓缺血性损伤的实验研究[J].中国脊柱脊髓杂志,2004,14(7):421-424. 被引量:13
  • 2马迅,党耕町,刘忠军.颈椎前、后路手术的运动学变化[J].中华骨科杂志,1998,18(5):278-281. 被引量:18
  • 3刘立岷,宋跃明,刘浩,胡隽宇,龚全,李涛,曾建成.后-前路联合手术治疗下颈椎骨折脱位伴关节突交锁[J].中华创伤杂志,2007,23(1):25-28. 被引量:33
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