摘要
目的探讨老年人颈性眩晕的CT及X线诊断价值。方法回顾性分析2011年6月～2012年5月在本院接受治疗的80例有完整X线和CT资料的确诊老年眩晕病例资料,并对80例的影像学表现进行分析比较。结果本组80例患者中X线显示寰椎两侧骨块与枢椎齿突间隙不等宽10例,钩椎关节增生、骨赘形成56例,椎间隙狭窄10例,生理曲度异常32例,颈椎失稳16例,侧弯或移位10例;CT横断平片显示横突孔狭窄。变形14例,椎间盘膨出22例,黄、纵韧带肥厚和(或)钙化14例。CT平扫检查中45例存在脑梗死表现,35例无明显异常。经病理证实,35例CT无异常表现患者中14例存在脑梗死前期脑缺血表现。结论 X线、CT对老年颈性眩晕患者都具有一定的诊断和鉴别价值。
Objective To investigate the diagnostic value of CT and X-ray in elderly cervical vertigo. Methods Eighty cas- es of elderly patients who were confirmed with vertigo, treated in our hospital from June 2011 to May 2012 and had com- plete X-ray and CT data were analyzed retrospectively, and the imaging data of 80 cases were analyzed and compared. Results Among 80 cases of patients, the X-ray showed that the width of atlas bone pieces on both sides were not equal with odontoid process interval in 10 cases; luschka hyperplasia and osteophyte formation in 56 cases; intervertebral space stenosis in 10 cases; physiological abnormal curvature in 32 cases; spine instability in 16 cases and 10 cases had lateral bending or displacement. CT cross-sectional plain film showed that the transverse foramen stenosis were in 14 cases, inter- vertebral disc protrusion in 22 cases, 14 cases had ligamentum flavum and longitudinal ligaments hypertrophy and/or cal- cification. CT scan showed that 45 patients had cerebral infarction and 35 cases had no obvious abnormalities. Pathology confirmed that among 35 cases of patients without abnormality in CT performance, ld cases existed cerebral ischemia per- formance of cerebral infarction prophase. Conclusion X-ray and CT both have diagnosis and differential value in elderly cervical vertigo patients.
出处
《中国当代医药》
2012年第18期99-99,101,共2页
China Modern Medicine
关键词
CT检查
颈性眩晕
老年
诊断价值
CT examination
Cervical vertigo
Elderly
Diagnostic value
