四川汶川特大地震脊柱损伤的RI现
|
摘要
目的探讨四川汶川特大地震所致脊柱损伤的MRI表现特点。方法分析总结23例地震伤脊柱损伤的MRI表现。结果23例中,颈椎骨折3例,颈胸椎骨折1例,胸椎骨折9例,胸腰椎骨折3例,腰椎骨折3例,骶椎骨折1例,共34个椎体骨折。椎体骨挫伤12例;脊髓水肿、挫伤、血肿12例;椎间盘损伤4例;硬膜外血肿11例,硬膜下血肿1例,腰大肌、竖脊肌挫伤血肿8例。结论MRI能清楚显示地震伤脊柱损伤的各种病理改变。
Objective To discuss the MRI features of spinal injuries in Wenchuan earthquake.Methods The MRI findings of 23 cases of spinal injuries caused by Wenchuan earthquake were analyzed retrospectively.Results Fractures of 34 vertebral bodies were observed in these 23 patients including cervical injury(3 cases),cervicothoracic injury(1 case),thoracic injury(9 cases),thoracolumbar injury(3 cases),lumbar injury(3 cases) and sacral injury(1 case).Vertebral body contusion(12 cases),spinal cord injuries(12 cases),intervertebral disc injuries(4 cases),epidural haematoma(11 cases),subdural haematoma(1 case),haematoma and contusion of paraspinal / retrovertebral muscles(8 cases) were found in MRI simultaneously.Conclusion Pathological changes of spinal injuries caused by earthquake can be reliably identified by MRI.
Objective To discuss the MRI features of spinal injuries in Wenchuan earthquake.Methods The MRI findings of 23 cases of spinal injuries caused by Wenchuan earthquake were analyzed retrospectively.Results Fractures of 34 vertebral bodies were observed in these 23 patients including cervical injury(3 cases),cervicothoracic injury(1 case),thoracic injury(9 cases),thoracolumbar injury(3 cases),lumbar injury(3 cases) and sacral injury(1 case).Vertebral body contusion(12 cases),spinal cord injuries(12 cases),intervertebral disc injuries(4 cases),epidural haematoma(11 cases),subdural haematoma(1 case),haematoma and contusion of paraspinal / retrovertebral muscles(8 cases) were found in MRI simultaneously.Conclusion Pathological changes of spinal injuries caused by earthquake can be reliably identified by MRI.
引文
[1]熊雁,王子明,骆晓峰,等.汶川地震69例骨科伤员的病情特点及救治对策[J].创伤外科杂志,2009,11(1):50-52.
[2]王正国.地震灾害的医疗救助[J].创伤外科杂志,2008,10(4):289-291.
[3]贾金鹏,陆宁,姚一民,等.汶川地震中32例胸腰段骨折的治疗[J].中华创伤骨科杂志,2008,10(6):516-518.
[4]戚跃勇,邹利光,张冬,等.143例地震伤的影像诊断特点[J].第三军医大学学报,2008,30(20):1952-1954.
[5]陈腾,杨广夫,张迪.颈椎损伤的MRI表现[J].实用放射学杂志,1996,12(2):71-76.
[6]Kulkarni MV,McArdle CB,Kopanicky D,et al.Acute spi-nal cord injury:MR imaging at 1.5T[J].Radiology,1987,164(7):837.
[7]张芳,王仁法,王承缘.颈段脊柱损伤的MRI诊断[J].临床放射学杂志,2000,19(6):365-368.
[8]王晨光,施增儒,贾连顺.磁共振诊断创伤后脊柱稳定性的特点与价值[J].临床放射学杂志,1993,12(1):45-47.
[9]Mauricio Castillo著,王霄英主译.神经放射学[M].北京:中国医药科技出版社,2006.339-359.
[2]王正国.地震灾害的医疗救助[J].创伤外科杂志,2008,10(4):289-291.
[3]贾金鹏,陆宁,姚一民,等.汶川地震中32例胸腰段骨折的治疗[J].中华创伤骨科杂志,2008,10(6):516-518.
[4]戚跃勇,邹利光,张冬,等.143例地震伤的影像诊断特点[J].第三军医大学学报,2008,30(20):1952-1954.
[5]陈腾,杨广夫,张迪.颈椎损伤的MRI表现[J].实用放射学杂志,1996,12(2):71-76.
[6]Kulkarni MV,McArdle CB,Kopanicky D,et al.Acute spi-nal cord injury:MR imaging at 1.5T[J].Radiology,1987,164(7):837.
[7]张芳,王仁法,王承缘.颈段脊柱损伤的MRI诊断[J].临床放射学杂志,2000,19(6):365-368.
[8]王晨光,施增儒,贾连顺.磁共振诊断创伤后脊柱稳定性的特点与价值[J].临床放射学杂志,1993,12(1):45-47.
[9]Mauricio Castillo著,王霄英主译.神经放射学[M].北京:中国医药科技出版社,2006.339-359.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心