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目的 :比较X线摄片和CT扫描在脊柱骨折中的应用价值。方法 :回顾性分析 1999年至 2 0 0 1年收治的 4 6例脊柱骨折患者的X线摄片及CT扫描的表现。结果 :X线片对脊柱单纯屈曲压缩型骨折、椎体脱位、半脱位容易确诊 ,而对其他类型脊柱骨折较易误诊和漏诊 ,诊断符合率 81 6 %。CT扫描可显示骨折部位、类型、骨折片的移位以及骨折片突入椎管 ,椎管狭窄 ,对多节段椎体骨折和附件骨折显示较好。CT扫描诊断符合率达98 6 %。结论 :在脊柱损伤的诊断中X线摄片和CT扫描相结合才能提高脊柱损伤的诊断符合率。
Objective: To compare the value of X-ray and CT in the diagnosis of spinal fractures. Methods: A retrospective analysis of 42 patients with spinal fractures admitted between 1999 and 2001 by X-ray and CT scan was performed. Results: The X-ray films were easy to diagnose the simple flexion and compression fractures, vertebral body dislocation and subluxation, but misdiagnosis and missed diagnosis of other types of spinal fractures. The diagnostic coincidence rate was 81.6%. CT scan can show the fracture site, type, the displacement of fracture fragments and fracture fragments into the spinal canal, spinal canal stenosis, multi-segment vertebral fractures and attachment fracture showed good. CT scan diagnosis rate of 98 6%. Conclusion: The combination of X-ray and CT scan can improve the diagnostic accuracy of spinal injury in the diagnosis of spinal injury.