CAJ | 학술논문

目的：总结颈椎外伤的CT诊断经验，进一步提高CT的正确诊断率。方法：2010年2月-2013年4月收治颈椎外伤患者20例，所有患者均进行CT扫描检查，患者仰卧位，层厚2 mm，间隔2 mm，矩阵256×256，8例患者摄颈部正侧位片。结果：20例中，C1～2滑脱骨折5例，并伴有C1和/或C2骨折，5例不同程度脊髓受伤，累及C4～6椎体5例，发生椎体或椎弓骨折，部分伴有椎间盘突出，其中2例C5椎体压缩骨折，累及C3～42例，C6～71例伴有椎间盘突出及椎管狭窄。结论：CT 是诊断颈椎外伤的重要方法，而且具有图像清晰、损伤部位定位准确、可重复性强等优点，值得临床推广。
목적：총결경추외상적CT진단경험，진일보제고CT적정학진단솔。방법：2010년2월-2013년4월수치경추외상환자20례，소유환자균진행CT소묘검사，환자앙와위，층후2 mm，간격2 mm，구진256×256，8례환자섭경부정측위편。결과：20례중，C1～2활탈골절5례，병반유C1화/혹C2골절，5례불동정도척수수상，루급C4～6추체5례，발생추체혹추궁골절，부분반유추간반돌출，기중2례C5추체압축골절，루급C3～42례，C6～71례반유추간반돌출급추관협착。결론：CT 시진단경추외상적중요방법，이차구유도상청석、손상부위정위준학、가중복성강등우점，치득림상추엄。
Objective:To summarize the CT diagnosis experience of cervical trauma,to further improve the correct diagnostic rate of CT.Methods:20 cases with cervical trauma were selected from February 2010 to April 2013.All patients underwent CT scan,the supine position,thickness 2 mm,interval 2 mm,matrix 256×256.8 cases were taken the neck side position piece.Results:In 20 cases,5 cases had C1~2 decollement fracture,and associated with C1 and(or) C2 fractures;5 cases had different degree of spinal cord injury;5 cases were involved with C4~6 cervical vertebral,with vertebrae or fracture of vertebral arch,part with protrusion of intervertebral disc,and 2 cases had C5 vertebral compression fractures;2 cases were involving the C3~4;1 case was C6~7 with cervical intervertebral disc herniation and spinal stenosis.Conclusion:CT is an important method in diagnosis of cervical trauma, but also has many advantages,such as clear image,damage location accurate,repeatable,and it is worthy of clinical application.