上颈椎病变的影像学研究进展

摘要

Upper cervical vertebral has complex anatomic structure and some diseases may involve this vital center area of human body. Most of the diseases, such as trauma, malformation, and degeneration, need to be treated with surgery to recover the function of cervical vertebral .The accurate evaluation is crucial before and after the surgery. In the past few years, CT, MRI, and ultra-sound play important roles in the evaluation of upper cervical vertebral diseases and planning treatment. Comprehensive evaluation with multidisciplinary approach is advocated. In this paper we reviewed the anatomy and clinic treatments; summarized the latest imaging advances in upper cervical vertebral disease; discussed the perspective of comprehensive evaluation with multidisciplinary approach.%　　上颈椎解剖结构复杂且变异较大，其临床病变多样。针对上颈椎的外伤、畸形和退行性变等疾病，临床大多需要进行手术治疗以恢复颈椎功能。该区域解剖结构的复杂性决定了在手术前后对病变进行影像学准确评估的重要性。 CT、MRI和超声等影像检查手段在对上颈椎病变手术治疗评估中发挥着重要作用，多种影像学综合评价成为临床应用趋势。就上颈椎的解剖特点、临床治疗特点、影像学最新研究进展和多学科综合评估的运用前景予以综述。