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目的 探讨CT对上颈椎损伤的诊断价值。方法 19例上颈椎损伤患者 ,男 14例 ,女 5例 ,年龄 9～ 49岁 ,平均 2 3岁。采用螺旋CT行薄层扫描 ,必要时作三维表面重建 ,或多平面重建。结果 椎体骨折 13例 ,环枢关节脱位 10例 ,其中环齿关节脱位7例 ,单纯枢椎旋转脱位 2例 ,另 1例为环椎旋转脱位合并环枢椎嵌插交锁固定。结论 CT能明确显示上颈椎骨折、脱位 ,椎管及脊髓损伤情况 ,有助于临床及时准确地制订治疗方案
Objective To investigate the diagnostic value of CT on the injury of the upper cervical spine. Methods Twenty-nine patients with upper cervical spine injury, including 14 males and 5 females, were aged 9 to 49 years old with an average of 23 years. Thin-layer scanning with spiral CT, if necessary, three-dimensional surface reconstruction, or multi-planar reconstruction. Results Vertebral fractures in 13 cases, 10 cases of dislocation of the central axis, including ring tooth dislocation in 7 cases, simple axial rotation dislocation in 2 cases, and the other 1 case of rotation dislocation combined with rotation of the Central axis intercalation and fixation. Conclusion CT can clearly show the fracture of upper cervical spine, dislocation, spinal canal and spinal cord injury, which is helpful for timely and accurate clinical treatment plan