摘要
回顾性分析 10 0例脊柱外伤的磁共振成像 (MRI)表现。病程自伤后 8小时～ 2 5年。其中伤后 4周内检查者 46例 ,MRI主要发现有脊髓挫伤、硬膜外出血、韧带撕裂、椎骨骨折和椎间盘脱出。 4周后检查的 5 4例 ,主要的脊髓病变包括脊髓软化、囊变、萎缩和脊髓空洞症。结果表明 ,MRI是外伤性脊髓病变最佳的检查方法 ,对硬膜外出血、韧带撕裂、外伤性椎间盘脱出和椎体骨折也能很好显示。脊髓挫伤伴有出血者 。
MRI manifestations in one hundred cases of spinal trauma were analyzed retrospectively. The courses were from 8 hours to 25 years posttraumatically. Forty six cases were examined within 4 weeks after trauma with MRI findings of spinal cord contusion, extradural hemorrhage, ligamentous laceration, vertebral fracture and hernia of intervertebral disc. The main spinal cord lesions found in 54 cases 4 weeks later after trauma included malacic spinal cord ,cystic lesion, atrophy and syringgomyelia. The results show that, for traumatic lesions of spinal cord, MRI is the best method of examination, and it displays extradural hemorrhage, ligamentous laceration, traumatic hernia of intervertebral disc and vertebral fracture as well. For spinal cord contusion associated with hemorrhage, clinical prognosis is not good.
出处
《中医正骨》
2000年第9期14-16,共3页
The Journal of Traditional Chinese Orthopedics and Traumatology
