汶川地震脊柱损伤CT诊断及其价值
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摘要
目的:分析四川汶川地震脊柱损伤患者CT表现及其价值。方法:对地震发生后近2个月内先后送至四川大学华西医院治疗的148名脊柱外伤伤员,进行脊柱骨折特点CT分析。结果:148例伤员共有341个椎骨骨折,其中颈椎骨折49个,胸椎骨折110个,腰椎骨折179个,骶椎骨折3个。压缩骨折43个,爆裂骨折41个,后柱断裂149个,压缩骨折合并后柱断裂6个,爆裂骨折合并后柱断裂102个,骨折脱位18个。148例脊柱伤员有84例伴发椎管狭窄。结论:CT能准确、快速地对地震脊柱损伤患者进行诊断,为临床治疗起到指导作用。
Objective:To investigate the imaging features and value about CT of the evacuated spine trauma patients in wenchuan earthquake.Methods:One hundred and forty-eight patients within 2 months post-earthquake days were investigated with emphasis on CT finding features about spine in West China Hospital.Results:One hundred and forty-eight patients showed three hundred and forty-one spinal fractures,forty-nine patients in cervical vertebrae,one hundred and ten patients in thoracic vertebrae,one hundred and seventy-nine patients in lumbar vertebrae,three patients in sacral vertebrae.There were forty-three compression fracture,forty-one burst fracture,one hundred and forty-nine column fracture,six compression fractures after the merger,one hundred and two burst fracture after the merger,eighteen fracture dislocation.The spinal stenosis was found in eighty-four patients.Conclusion:CT can diagnosis spinal injury exactly,quickly and effectively.
Objective:To investigate the imaging features and value about CT of the evacuated spine trauma patients in wenchuan earthquake.Methods:One hundred and forty-eight patients within 2 months post-earthquake days were investigated with emphasis on CT finding features about spine in West China Hospital.Results:One hundred and forty-eight patients showed three hundred and forty-one spinal fractures,forty-nine patients in cervical vertebrae,one hundred and ten patients in thoracic vertebrae,one hundred and seventy-nine patients in lumbar vertebrae,three patients in sacral vertebrae.There were forty-three compression fracture,forty-one burst fracture,one hundred and forty-nine column fracture,six compression fractures after the merger,one hundred and two burst fracture after the merger,eighteen fracture dislocation.The spinal stenosis was found in eighty-four patients.Conclusion:CT can diagnosis spinal injury exactly,quickly and effectively.
引文
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[6]周康荣,严福华,张志勇,等.螺旋CT[M].上海:上海医科大学出版社,1998:239.
[2]张雪哲.脊柱爆裂性骨折的影像学诊断[J].中华放射学杂志,1998,32(1):60-61.
[3]Rathore MF,Rashid P,Butt AW,et al.Epidemiology of spinal cordinjuries in the 2005 Pakistan earthquake[J].Spinal Cord,2007,45(10):658-663.
[4]Maruo S,Matumoto M.Spinal fractures resulting from the 1995Great Hanshin Earthquake of the Kobe-Osaka area of Japan[J].Spinal Cord,1996,34(7):382-386.
[5]Tauqir SF,Mirza S,Gul S,et al.Complications in patients with spi-nal cord injuries sustained in an earthquake in Northern Pakistan[J].J Spinal Cord Med,2007,30(4):373-377.
[6]周康荣,严福华,张志勇,等.螺旋CT[M].上海:上海医科大学出版社,1998:239.
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