摘要
目的研究探讨X线平片和CT检查在脊柱爆裂型骨折诊断中的作用及临床使用价值。方法对66例经X线平片及CT检查的脊柱爆裂型骨折患者的临床资料进行分析,并根据X线平片及CT检查结果进行观察比较,分析各存在的优势与缺点。结果 X线表现:66例患者的X线平片影像结果均有明显的骨折改变显示,其中,16例显示椎管内有小骨片压迫骨髓,21例椎体有骨折线显示,9例椎管狭窄,48例横突、棘突合并骨折。CT表现:CT影像检查66例患者均提示存在椎体横径及前后径异常及骨折线信号,其中:54例提示椎体横径增宽,52例椎管内有小骨片,53例椎管狭窄,28例提示有合并横突、棘突骨折。结论对脊椎爆裂型骨折患者的临床检查,CT效果明显优于X线平片,虽然CT检查相比于X线检查范围狭窄且操作复杂,但其对微小骨折信号及脊髓变化显示精准,临床应用价值高于X线平片。
Objective To study the role and clinical value of X-ray plain film and CT examination in the diagnosis of spinal burst fractures. Methods The clinical data of 66 cases of burst fracture of the spine were analyzed by X-ray plain film and CT,and the advantages and disadvantages were analyzed according to the X-ray plain film and the results of CT examination. Results X-ray findings： there were obvious fracture changes in the X-ray plain film of 66 patients.Among them,16 cases showed bone marrow compression in spinal canal,21 vertebral fracture lines showed,9 vertebral canal stenosis,48 cases of transverse process and spinous process combined fracture. CT findings： 66 cases of CT imaging showed the existence of vertebral transverse diameter and abnormal anterior and posterior diameter and fracture line signal. Among them,54 cases showed the width of vertebral transverse diameter,52 cases of vertebral canal with small bone slices, 53 cases of spinal canal stenosis and 28 cases with transverse process and spinous process fracture. Conclusions The clinical examination of the patients with burst fracture of vertebra is obviously better than X-ray plain film. Although the CT examination is narrower and complicated than X-ray examination,it is accurate for small fracture signal and spinal cord change,and the clinical application value is higher than that of X-ray plain film.
作者
张越
ZHANG Yue,(A Central Hospital Affiliated to Shenyang Medical Colleg)
出处
《航空航天医学杂志》
2018年第10期1176-1177,共2页
Journal of Aerospace medicine
