CT Diagnosis of Acute Cervical Trauma
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摘要: 本文目的是分析急性颈椎损伤(ACT)的CT征象,评价CT在ACT诊断中的价值及限度。方法:78例颈椎外伤患者行平片、薄层CT检查及三维重建,并做对照分析。结果经影像学诊断60例ACT,CT诊断59例,1例CT阴性而由平片确诊 1例。平片与CT的骨折检出率分别为 53. 3%和 98.3%。结论:CT比X线平片可发现更多的骨折,并能明确骨折块与椎管的关系。这对临床处理严重颈椎损伤起到指导作用。Abstract: Purpose: To analyze the CT appearances of acute cervical trauma (ACT)and evaluate the value and limitation of CT in the diagnosis of ACT Methods: 78 cases of cervical trauma were examined with plain film and thin-slice CT 3D Reformations were performed routinely. We analyze and compare X-ray diagnosis with CT diagnosis. Result : 60 cases ACT were diagnosed. CT confirmed 59 cases. 1 cases was demonstrated by X-ray, while missed by CT Fracture detection rates of CT and plain film were 98.3% and 53.3%. Conclusion. CT can also detect if there is Fracture and if the vertebral canal is narrow. That is helpful to treat the patients who have cervical trauma.
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Keywords:
- Acute cervical trauma /
- CT diagnosis /
- 3D reformation
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