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目的:探讨16层螺旋CT诊断颈椎损伤的价值。方法:回顾性分析我院47例颈椎损伤患者的16层螺旋CT资料。结果:47例颈椎骨折,其中36例为多椎体或多处骨折,轴位CT、多平面重建(MPR)、曲面重建(CPR)、容积再现(VRT)显示椎体骨折54、54、54、50处以及椎板骨折25、25、25、20以及椎弓根骨折13、15、15、13处以及横突/棘突骨折15、17、17、16处以及关节突骨折/脱位18、16、17、16以及非寰枢椎椎体脱位3、6、6、6处以及椎体旋转4、3、3、4处。MPR、CPR结合轴位CT图像可完全明确骨折、脱位及椎管情况,VRT对颈椎表面骨折、椎体旋转及成角脱位显示良好,立体感强。结论:轴位图像、MPR、CPR及VRT联合应用,能明确颈椎损伤的性质,立体、直观、多方位提供临床医师所需信息,有利于治疗方案的选择,多层螺旋CT检查应为颈椎损伤检查的首选。
Objective: To investigate the value of 16-slice spiral CT in the diagnosis of cervical spine injury. Methods: A retrospective analysis of 47 cases of cervical spine injury in our hospital by 16-slice spiral CT data. Results: Forty-seven cases of cervical vertebra fractures were diagnosed as vertebral fractures by using CT, MPR, VR and CPR in 36 cases. Vertebral fracture 54,54,54 , 50 and 25,25,25,20 vertebral plate fractures, and 13,15,15,13 pedicle fractures and 15,7,17,16 transverse process / spinous process fractures, 16,17,16 and non-atlantoaxial vertebral body dislocation 3,6,6,6 and vertebral body rotation 4,3,3,4 place. MPR, CPR combined with axial CT images can be completely clear fracture, dislocation and spinal canal conditions, VRT on the cervical spine fractures, vertebral rotation and angular dislocation showed good, strong sense of three-dimensional. Conclusion: Axial images, MPR, CPR and VRT can clearly identify the nature of cervical spine injury. Stereoscopic, visual and multidimensional information can provide clinicians the information they need to facilitate the choice of treatment. Multi-slice spiral CT should be cervical spine injury Check the preferred.