摘要
６７例外伤患者ＭＲＩ检查均发现脊髓损伤（ＳＣＩ），随着ＣＴ、ＭＲＩ的充分合理应用，真正意义的“没有放射学异常”的ＳＣＩ将不复存在。本文成人６５例，儿童２例，其中，６３例发生于颈段脊髓，推测与以下４种情况有关，（１）损伤外力较轻而缓和，（２）患者原有脊推骨关节病，（３）普通放射线检查对ＳＣＩ诊断的限度，（４）儿童患者较少，一周以内ＳＣＩ通常伴发前纵韧带（ＡＬＬ）血肿形成，为颈段ＳＣＩ的特征性脊柱损伤表现。ＭＲＩ可准确诊断不同程度ＳＣＩ，为临床提供可靠的客观依据。
The authors retrospectively analysed 67(63 in cervical
cord)cases of traumatic SCIWOAR with positive MR abnormalities. It was deduced that the
cases of SCIWOAR might be related with (1)those traumatic forces resulting in SCI being not so
heavy and severe, (2)the cases orignally with cervical spondylopathy,(3)the limitation of the
conventional X-ray examination for SCI,and (4)the cases of children relativly rare in our country
and hospital.The ALL hematomas are the pathognomonic signs in the case of the acute cervical
SCI within one week.The analysis demonstrated that MR investigation of the traumatic spine
could give the clinical activities the correct diagnosis of different degree of SCI and dependable
reference.
出处
《中国康复理论与实践》
CSCD
1999年第1期20-23,共4页
Chinese Journal of Rehabilitation Theory and Practice
