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目的:比较X线与CT对脊柱损伤的影像诊断价值。方法:回顾分析80例脊柱损伤的X线与CT影像资料。结果:80例中X线阳性76例,漏诊4例,CT阳性80例。损伤部位:颈椎3例,胸椎45例,腰椎32例。胸腰椎复合伤15例。合并椎管狭窄26例。结论:X线是脊柱损伤的基本诊断方法,但信息量低,易漏诊。CT为诊断及治疗提供更多信息与依据,对诊断椎管狭窄具有特异性及高度敏感性,在诊断价值上优于X线。
Objective: To compare the diagnostic value of X-ray and CT in the diagnosis of spinal injury. Methods: The X-ray and CT images of 80 cases of spinal injuries were retrospectively analyzed. Results: Of the 80 cases, X-ray was positive in 76 cases, missed diagnosis in 4 cases and CT-positive in 80 cases. Injury site: cervical 3 cases, 45 cases of thoracic, lumbar 32 cases. Thoracolumbar complex injury in 15 cases. Combined spinal stenosis in 26 cases. Conclusion: X-ray is the basic diagnostic method of spinal injury, but the information is low and easily misdiagnosed. CT for the diagnosis and treatment to provide more information and basis for the diagnosis of spinal stenosis has a high specificity and high sensitivity in the diagnosis of superior to the X-ray.