急性颈椎损伤的CT诊断

本文目的是分析急性颈椎损伤（ＡＣＴ）的ＣＴ征象,评价ＣＴ在ＡＣＴ诊断中的价值及限度。方法：７８例颈椎外伤患者行平片、薄层ＣＴ检查及三维重建,并做对照分析。结果经影像学诊断６０例ＡＣＴ,ＣＴ诊断５９例,１例ＣＴ阴性而由平片确诊 １例。平片与ＣＴ的骨折检出率分别为 ５３． ３％和 ９８．３％。结论：ＣＴ比Ｘ线平片可发现更多的骨折,并能明确骨折块与椎管的关系。这对临床处理严重颈椎损伤起到指导作用。

CT Diagnosis of Acute Cervical Trauma

Purpose: To analyze the CT appearances of acute cervical trauma (ACT)and evaluate the value and limitation of CT in the diagnosis of ACT Methods: 78 cases of cervical trauma were examined with plain film and thin-slice CT 3D Reformations were performed routinely. We analyze and compare X-ray diagnosis with CT diagnosis. Result : 60 cases ACT were diagnosed. CT confirmed 59 cases. 1 cases was demonstrated by X-ray, while missed by CT Fracture detection rates of CT and plain film were 98.3% and 53.3%. Conclusion. CT can also detect if there is Fracture and if the vertebral canal is narrow. That is helpful to treat the patients who have cervical trauma.