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过去放射学评价颈部创伤主要依靠侧位X线照片。但因侧位X线片可能在5％～15％有严重颈椎损伤的病人中是正常的,为此,进行一项回顾性研究特别计划测定颈椎X线片在检测颈椎损伤中的局限性。研究群体由连续216例(1985.7～1990.6)一节或二节以上颈椎急性创伤性骨折、半脱位和脱位的病人组成。回顾研究216例颈椎外伤病人所有可得到的平片、CT扫描和断层X线照片,测定颈部平片能前瞻性地发现骨折、半脱位和脱位的百分率,并与回顾中发现的损伤数目作比较。 结果216例创伤病人中前瞻性地发现39％(453处中175处)骨折,64％(104处中67处)半脱位和脱位。77％(216例中166例)病人
The past radiological evaluation of neck trauma mainly depends on lateral X-ray. However, because of the possibility of lateral radiographs being normal in 5% to 15% of patients with severe cervical spine injury, a retrospective study was conducted to determine the limitations of cervical X-ray films in the detection of cervical spine injury. The study population consisted of 216 consecutive patients (1985.7 ~ 1990.6) with one or more patients with acute traumatic fracture, subluxation and dislocation of the cervical spine. A retrospective study of 216 patients with cervical trauma patients available plain film, CT scan and tomography, neck flat film can be determined by the prospective discovery of fracture, subluxation and dislocation percentage, and with the number of injuries found in the review for Compare RESULTS Of the 216 traumatic patients, prospectively found 39% (175 of 453) fractures and 64% (67 of 104) of subluxations and dislocations. 77% (166 of 216 patients) patients