《中国康复理论与实践》

《中国康复理论与实践》 ›› 1999, Vol. 5 ›› Issue (01): 20-23.

• 理论与实践 • 上一篇    下一篇

外伤性无骨折脱位型脊髓损伤的MRI研究(附67例分析)

徐建民; 张振俊; 王民礼   

  1. 中国康复研究中心
  • 收稿日期:1998-07-30 出版日期:1999-03-25 发布日期:1999-03-25

MRI Study of Traumatic SCIWORA Analysis of 67 Cases

Xu Jianmin,Zhang Zhenjun,Wang Minli   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1999,5(1):20～23
  • Received:1998-07-30 Published:1999-03-25 Online:1999-03-25

PDF (PC)

被引次数

3

摘要： 67例外伤患者MRI检查均发现脊髓损伤（SCI），随着CT、MRI的充分合理应用，真正意义的“没有放射学异常”的ACI将不复存在。本文成人65例，儿童2例，其中，63例发生于颈段脊髓，推测与以下4种情况有关，（1）损伤外力较轻而缓和，（2）患者原有脊推骨关节病，（3）普通放射线检查对SCI诊断的限度，（4）儿童患者较少，一周以内SCI通常伴发前纵韧带（ALL）血肿形成，为颈段SCI的特征性脊柱损伤表现。MRI可准确诊断不同程度SCI，为临床提供可靠的客观依据。

关键词: 磁共振成像, 脊髓损伤, 无骨折脱位型脊髓损伤, 前纵韧带血肿

Abstract: The authors retrospectively analysed 67(63 in cervical cord)cases of traumatic SCIWOAR with positive MR abnormalities. It was deduced that the cases of SCIWOAR might be related with (1)those traumatic forces resulting in SCI being not so heavy and severe, (2)the cases orignally with cervical spondylopathy,(3)the limitation of the conventional X-ray examination for SCI,and (4)the cases of children relativly rare in our country and hospital.The ALL hematomas are the pathognomonic signs in the case of the acute cervical SCI within one week.The analysis demonstrated that MR investigation of the traumatic spine could give the clinical activities the correct diagnosis of different degree of SCI and dependable reference.

Key words: MRI, SCI, SCIWORA, ALL hematoma.