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汶川地震脊柱损伤CT诊断及其价值

The Performance and Value About CT of Spinal Injury in Wenchuan Earthquake

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【作者】 纪琳邓开鸿

【Author】 JI Lin,DENG Kai-hong.Department of Radiology,West China Hospital,Sichuan University,Chengdu 610041,China

【机构】 四川大学华西医院放射科

【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。

【Abstract】 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.

【关键词】 CT脊柱损伤地震
【Key words】 CTspinal injuryearthquake
  • 【文献出处】 华西医学 ,West China Medical Journal , 编辑部邮箱 ,2009年02期
  • 【分类号】R683.2;R816.8
  • 【被引频次】7
  • 【下载频次】33
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