上颈椎不稳的3 D-CT等影像学和临床表现

摘要

目的：为了提高对上颈椎不稳的认识和重视，系统观察该疾病的3 D-CT影像学和临床表现。方法收集诊治的上颈椎不稳患者62例，采用CT（3D-CT、CTA）、X片等进行检查，结合临床表现，按轴性、前后、旋转不稳3种情况分别展示、描述，并对其进行总结分析和治疗。结果采用3D-CT技术，可以很好的发现和显示上颈椎不稳的原因及解剖结构异常，MRI能发现脊髓、脑干受压畸形等情况。通过对该病的影像学资料总结阅读、能够及时发现，避免漏诊，为及时治疗提供依据。结论采用X片、CT（3D-CT），可以有效发现上颈椎不稳，及时诊断。%Objective In order to pay more attention to upper cervical instability , the imaging of 3D-CT( three dimensional computed tomography and reconstructions ) and clinical symptoms of the upper cervical instability were systematically observed . Methods 62 cases of the upper cervical instability were studied on the diagnosis and treatment using 3D-CT, X films and com-bined with clinical symptoms .The 3D-CT imagings of 3 states, according to axial instability , instability in flexion and extension , rotation instability, were shown and described.Results The 3D-CT technology was a good tool to find and display the causes and anatomical structural abnormalities of upper cervical instability .We could detect and diagnosis the upper cervical instability through the 3D-CT imaging data, and could avoid misdiagnosis , provide the basis for timely treatment .Conclusion The upper cervical spine instability can effectively detect and timely diagnosis by 3D-CT, X-ray.