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目的 :探讨CT扫描在环枢椎损伤中的诊断价值。方法 :3 7例环枢椎损伤病例均行X线检查及CT扫描 ,采用螺旋CT薄层扫描并作二维重建。结果 :3 7例中 ,环椎骨折 5例 ,齿状突骨折 18例 ,枢椎椎弓根骨折 11例 ,枢椎椎体骨折 2例 ,单纯性环枢关节旋转脱位 1例。CT全部正确诊断 ,X线平片正确诊断 2 6例 ( 70 .2 %)。结论 :螺旋CT能对环枢椎损伤作出全面而准确的评价 ,是环枢椎损伤最好的检查方法
Objective: To investigate the diagnostic value of CT scanning in central axis injury. Methods: Thirty-seven cases of central and axial injuries were examined by X-ray and CT scan, and spiral CT was used for two-dimensional reconstruction. Results: In 37 cases, 5 cases of annular fracture, 18 cases of odontoid fracture, 11 cases of axial pedicle fracture, 2 cases of vertebral fracture, and 1 case of simple rotational dislocation of the central axis. All CT correct diagnosis, X-ray film correctly diagnosed 26 cases (70.2%). Conclusion: Spiral CT can make a comprehensive and accurate evaluation of the central axis of cervical spine injury and is the best method of examination of the central axis of vertebral injury