中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5693-5696.doi: 10.3969/j.issn.1673-8225.2011.30.044

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

三维CT重建成像在创伤性寰枢椎失稳治疗中的应用

于海龙，项良碧   

  1. 解放军沈阳军区总医院骨科，辽宁省沈阳市110016
  • 收稿日期:2011-01-14 修回日期:2011-06-07 出版日期:2011-07-23 发布日期:2011-07-23
  • 作者简介:于海龙☆，男，1976年生，黑龙江省大庆市人，汉族，2009年解放军军医进修学院毕业，博士，主治医师，主要从事脊柱外科的研究。 yuhailong118@yahoo.com.cn

Application of three-dimensional CT reconstruction in traumatic atlantoaxial destabilization

Yu Hai-long, Xiang Liang-bi   

  1. Department of Orthopedics, General Hospital of Shenyang Military Command, Shenyang  110016, Liaoning Province, China
  • Received:2011-01-14 Revised:2011-06-07 Online:2011-07-23 Published:2011-07-23
  • About author:Yu Hai-long☆, Doctor, Attending physician, Department of Orthopedics, General Hospital of Shenyang Military Command, Shenyang 110016, Liaoning Province, China yuhailong118@yahoo.com.cn

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370

被引次数

4

摘要：

背景：CT三维重建的运用对于复杂的解剖结构如头颈、脊柱、骨盆、四肢的精确评价有确切的作用。
目的：观察三维CT重建成像在诊断和治疗创伤性寰枢椎失稳的作用。
方法：选择解放军沈阳军区总医院骨科收治的创伤性寰枢椎失稳患者21例，三维CT重建检查，以明确诊断及损伤类型，并依据损伤类型，进行植骨融合内固定治疗。
结果与结论：三维CT重建成像可清楚观察寰枢椎失稳惰况，并依据进行内固定，所有病例未出现脊髓、椎动脉及神经根损伤等并发症。全部病例均获得有效随访，随访时间6~15个月，平均9个月。寰枢椎获得骨折愈合和骨性融合，寰枢椎不稳现象均获得有效纠正。提示三维CT重建成像对诊断寰枢椎失稳有较大帮助，并有助于制定恰当的手术方式。

关键词: 体层摄影, X射线计算机, 三维重建, 寰枢椎, 创伤, 数字化骨科

Abstract:

BACKGROUND: The three-dimensional CT reconstruction has an exact role in precise evaluation of complex anatomical structures such as head and neck, spine, pelvis, limbs.
OBJECTIVE: To evaluate the three-dimensional CT reconstruction in diagnosis and treatment of traumatic atlantoaxial destabilization.
METHODS: Twenty-one cases of traumatic atlantoaxial destabilization were reviewed. Each case was examined with the three-dimensional CT reconstruction to diagnose and analyze traumatic atlantoaxial destabilization and was operated according to the three-dimensional CT reconstruction images.
RESULTS AND CONCLUSION: The three-dimensional atlantoaxial images were reconstructed clearly with the three-dimensional CT reconstruction techniques. According to the three-dimensional images, there was no damage to the spinal cord, vertebral artery and nerve root during operation. All patients got healing of bone fracture and bony fusion during follow-up period (6-15 months, averagely 9 months) and the atlantoaxial destabilization was effectively corrected. It is helpful to diagnose and treat  traumatic atlantoaxial destabilization with the three-dimensional CT reconstruction images.

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