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目的 :评价常规X线和CT扫描二种影像学方法在脊柱骨折诊断中联合应用的价值。方法 :对 12 0例X线平片和CT扫描诊断为脊柱骨折的病例进行对照分析。结果 :12 0例中椎体骨折共 14 4个 ,76例X线侧位片椎体后缘连线 (PVBL线 )光滑 ,44例有不同程度异常。CT扫描诊断稳定性骨折 5 9例 ,不稳定性骨折 61例 ,三柱骨折中椎管无狭窄10例 ,狭窄 2 3例。结论 :脊柱外伤性骨折影像诊断应注重常规X线平片和CT扫描检查的互补作用。X线片仍是首选检查方法 ,有利于多个椎体连续或跳跃性同时骨折的检出 ,发现有椎体骨折均应做CT扫描 ,以判断骨折的稳定性与并发症情况 ,有利于临床及时正确处理
OBJECTIVE: To evaluate the value of conventional radiography and computed tomography in the diagnosis of spinal fractures. Methods: A total of 120 cases of spinal fractures diagnosed by X-ray and CT scan were compared. Results: There were 14 4 vertebral fractures in 120 cases. The PVBL line was smooth in 76 cases of X - ray films. There were 44 cases with abnormal degree. CT scan diagnosis of stable fracture in 59 cases, 61 cases of unstable fracture, three cases of spinal canal stenosis in 10 cases, 23 cases of stenosis. Conclusion: The diagnosis of spinal traumatic fracture should pay attention to the complement of routine X-ray and CT scan. X-ray film is still the preferred method of examination, is conducive to multiple or continuous vertebral fracture detection, and found that vertebral fractures should be done CT scan to determine the stability of the fracture and complications, is conducive to clinical Timely and correct treatment