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臂丛神经牵拉伤的计算机断层扫描

Computerised axial tomography in traction injuries of the brachial plexus.

作者信息

Marshall R W, De Silva R D

出版信息

J Bone Joint Surg Br. 1986 Nov;68(5):734-8. doi: 10.1302/0301-620X.68B5.3782234.

DOI:10.1302/0301-620X.68B5.3782234
PMID:3782234
Abstract

Severe traction injuries may damage the brachial plexus at any level from the spinal cord to the axillary outlet. Investigation aims to determine the level of the injury for each of the nerves, trunks or cords, with particular reference to obtaining firm evidence of any intradural (pre-ganglionic) damage. We report the results of computerised axial tomography of the cervical spine in comparison with conventional myelography and with surgical exploration of the plexus. CT scanning with contrast enhancement greatly improves diagnostic accuracy, particularly at C5 and C6 root levels.

摘要

严重的牵拉损伤可能会在从脊髓到腋窝出口的任何水平损伤臂丛神经。检查旨在确定每条神经、干或束的损伤水平,尤其要获得任何硬膜内(节前)损伤的确切证据。我们报告了颈椎计算机断层扫描的结果,并与传统脊髓造影和臂丛神经手术探查结果进行了比较。增强CT扫描大大提高了诊断准确性,尤其是在C5和C6神经根水平。

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