Imaging Features of the Vertebral Injury from 5·12 Wenchuan Earthquake_West China Medical Journal

Authors：

LU Tao ¹ , DENG Kaihong ² , JIANG Jin ¹ , et al ¹

1the Department of Radiology, Sichuan Academy of Medical Science and Sichuan Provincial People’s Hospital, Chengdu 610072; 2the Department of Radioloty, West China hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

Keywords：

地震; 脊柱外傷; 影像解釋

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目的:探討5·12汶川大地震致脊椎外傷傷員的影像學表現特點。方法:回顧性分析自2008年5月12日至6月12日因地震性脊柱外傷在我院行放射檢查者,共320例。其中行X線檢查310例,CT檢查38例,MRI檢查15例。結果:148例傷員影像學檢查為陽性,陽性率為46.25%。30～39歲年齡組傷員人數最多,為68例,其中女性40例。陽性傷員中,多發傷有80例(54.05%)。單一椎體骨折98例,多發椎體骨折42例,椎體脫位12例。椎體壓縮骨折114個,爆裂骨折26個,附件骨折31個。310例傷員中,共累及182個椎體,即頸椎15個,胸椎59個,腰椎100個,骶椎8個。結論:地震致脊椎外傷受累人群主要為30～39歲青年女性,多發傷多見。單一椎體骨折相對多見,骨折損傷類型以壓縮性骨折為主,腰椎為最常見受傷部位。影像學檢查有助于脊柱外傷的及時準確診斷。

Citation： LU Tao,DENG Kaihong,JIANG Jin,et al. Imaging Features of the Vertebral Injury from 5·12 Wenchuan Earthquake. West China Medical Journal, 2009, 24(8): 2107-2109. doi: Copy

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7.	紀琳,鄧開鴻.汶川地震脊柱損傷CT診斷及其價值[J].華西醫學,2009,24(2):392-394.

1. 李紅樓,代小舟,劉蔚,等.5·12汶川大地震2196例住院傷員綜合分析[J].實用醫院臨床雜志,2008,5(6):26-28.
2. VAN GOETHEM J W M, MAES M, OZSARLAK O, et al. Imaging in spine trauma[J]. Eur Radiol,2005,15:582-592.
3. MANSON J A, BLACKE MORE C C, MANN F A, et al. Cervical spine injury: a clinical decision rule to identify high risk patients for helical CT scanning[J]. Am J Roentgenol,2000,174(3):713-717.
4. DAFFNER R H. Helical CT of the cervical spine for trauma patients: a time study[J]. Am J Roentgenol,2001,177(3):677-679.
5. FLANDERS A E, SCHAEFER D M, DVAN H T, et al. Acute cervical spinal trauma: correlation of MR imaging findings with degree of neurologic deficit[J]. Radiology,1990,177:25-33.
6. SCHAEFER D, FLANDERS A, NORTHRUP B, et al. Prognostic significance of magnetic resonance imaging in the acute phase of cervical spine injury[J]. J Trauma,1992,176:218.
7. 紀琳,鄧開鴻.汶川地震脊柱損傷CT診斷及其價值[J].華西醫學,2009,24(2):392-394.

West China Medical Journal

Imaging Features of the Vertebral Injury from 5·12 Wenchuan Earthquake

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