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[颈椎损伤的磁共振断层扫描]

[Magnetic resonance tomography in injuries of the cervical spine].

作者信息

Meydam K, Sehlen S, Schlenkhoff D, Kiricuta J C, Beyer H K

出版信息

Rofo. 1986 Dec;145(6):657-60. doi: 10.1055/s-2008-1049010.

Abstract

Twenty patients who had suffered spinal trauma were examined by magnetic resonance tomography. Fifteen patients with first degree trauma in Erdmann's classification showed no abnormality. Magnetic resonance tomography of the cervical spine appears to be a suitable method for investigating patients with whiplash injuries. It is indicated following severe flexion injuries with subluxations and neurological symptoms, since it is the only method that can demonstrate the spinal cord directly and completely and show the extent of cord compression. For patients with thoracic trauma and rapidly developing neurological symptoms, magnetic resonance tomography is ideal for showing post-traumatic syringomyelia. Magnetic resonance tomography following whiplash injuries is recommended if plain films of the cervical spine show any abnormalities, as well as for the investigation of acute or sub-acute neurological abnormalities. The various findings are discussed.

摘要

对20例脊柱创伤患者进行了磁共振断层扫描检查。在埃德曼分类中,15例一度创伤患者未显示异常。颈椎磁共振断层扫描似乎是一种适用于检查挥鞭样损伤患者的方法。在伴有半脱位和神经症状的严重屈曲损伤后,该检查是必需的,因为它是唯一能直接、完整地显示脊髓并显示脊髓受压程度的方法。对于胸段创伤并迅速出现神经症状的患者,磁共振断层扫描是显示创伤后脊髓空洞症的理想方法。如果颈椎平片显示任何异常,以及在检查急性或亚急性神经异常时,建议在挥鞭样损伤后进行磁共振断层扫描。对各种检查结果进行了讨论。

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