多层螺旋CT在上颈椎损伤中的诊断价值
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【摘要】 目的 探讨多层螺旋CT(MSCT)三维及多平面重建在上颈椎损伤中的临床应用价值。方法 25例上颈椎损伤患者，采用MSCT 3～5 mm扫描、1.0 mm重建后作三维及多平面重建。结果 上颈椎椎体骨折18例，其中齿状突骨折6例，环枢关节脱位7例，其中环齿关节脱位6例，单纯枢椎旋转脱位1例。结论 螺旋CT三维及多平面重建能明确显示上颈椎骨折、脱位情况，有助于临床及时准确地制订治疗方案。
【关键词】 上颈椎； 三维； 多平面重建； X线计算机
Clinical application of MSCT in upper cervicales trauma HE Wei-hao,GONG Qi.The Peoples Hospital of Danyang,Danyang 212300,China
【Abstract】 Objective To explore the clinical application value of 3-dimensional and multiplanter reconstruction with MSCT in diagnosing upper cervicales trauma.Methods 25 cases with upper cervicales trauma were processed with shaded surface display(SSD)and multiplaner reconstructions(MPR),collimation was 3-5 mm，reconstruction interval 1.0 mm.Results There were 18 cases of cervicales fracture and 7 cases of atlantoaxial dislocation including 6 cases of atlantoaxial rotatory dislocation and 1 cases of accompanying atlantoaxial rotatory-impacted dislocation.Conclusion SSD and MPR with spiral CT can display distinctly upper cervicales fracture，dislocation and injury of spinalcanal and spinal cord. There are helpful for planning treatment protocol ......
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