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在部队训练过程中,颈椎损伤是一种常见的损伤。我院自1989年以来共收治由训练致颈椎损伤的病人18例,对其损伤的机制,诊断治疗及预防措施做了讨论,现报导如下。1 临床资料 本组18例,均为男性,年龄17～22岁,平均18.9岁。其中新兵15例,老兵3例。致伤原因:倒功训练损伤12例,器械练习损伤3例,擒拿对打训练损伤3例。受伤部位:寰枢椎骨折或半脱位6例,颈3～8椎体或椎弓根骨折脱位12例。受伤程度:单纯颈椎骨折8例,单纯颈脱椎位6例,颈椎骨折合并脱位4例。无颈髓或神经损伤15例,合并颈髓或神经损伤3例。X线片检查,本组8例均做颈椎正侧位、双斜位检查、部分加做开口位检查,发现有骨折或脱位17例,有1例未见骨折征象(后经CT检查确诊有骨折)。CT片检查,本组
Cervical injury is a common injury during military training. In our hospital since 1989, a total of 18 cases of patients with cervical spondylosis were treated, and their mechanisms of injury, diagnosis, treatment and preventive measures were discussed. The reports are as follows. 1 Clinical data The group of 18 patients, both men, aged 17 to 22 years, mean 18.9 years. Among them, 15 recruits and 3 veterans were recruited. Cause of injury: fall training injury in 12 cases, equipment injury in 3 cases, catch the fight training in 3 cases. Injured parts: atlantoaxial fractures or subluxation in 6 cases, cervical 3 ~ 8 vertebral pedicle fracture or dislocation in 12 cases. Injuries: 8 cases of simple cervical spine fracture, simple cervical spondylosis in 6 cases, cervical spine fracture and dislocation in 4 cases. No cervical spinal cord or nerve injury in 15 cases, combined with cervical cord or nerve injury in 3 cases. X-ray examination, the group of 8 patients were done cervical lateral, double oblique examination, part of the open mouth to do additional checks and found that there are 17 cases of fracture or dislocation, 1 case of no fracture signs (after CT confirmed by a fracture). CT examination, this group