阳性对比剂脊髓造影在急性颈脊髓损伤中是否有价值？

Is positive-contrast myelography of value in acute cervical spinal cord injury?

作者信息

Scher A T

出版信息

Paraplegia. 1977 Nov;15(3):215-20. doi: 10.1038/sc.1977.32.

DOI:10.1038/sc.1977.32

Abstract

Positive-contrast myelography in 30 patients with acute cervical spinal cord injury has not provided any information of clinical value. Reference to the literature does not provide a definite set of indications for myelography in acute spinal cord injury. An attempt has therefore been made to evaluate the indications for this procedure. The potential hazards of myelography in patients with acute spinal cord injury are discussed. Specific contra-indications are described. Difficulties in the radiological interpretation of the usual myelographic appearances in spinal cord injury are mentioned. The advantages of negative-contrast myelography are briefly described. It is concluded that there is a very limited indication for positive-contrast myelography in acute spinal cord injury.

摘要

对30例急性颈髓损伤患者进行的阳性对比脊髓造影未提供任何具有临床价值的信息。查阅文献也未得出急性脊髓损伤患者脊髓造影的确切适应证。因此，已尝试评估该检查方法的适应证。讨论了急性脊髓损伤患者进行脊髓造影的潜在风险，描述了具体的禁忌证，提及了脊髓损伤中常规脊髓造影表现的放射学解读难点，并简要介绍了阴性对比脊髓造影的优点。得出的结论是，急性脊髓损伤患者进行阳性对比脊髓造影的适应证非常有限。