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目的 进一步提高CT和X线平片对脊柱爆裂骨折诊断价值的认识。方法 收集经CT检查确诊为脊柱爆裂骨折而X线平片诊断为单纯压缩性骨折或未见骨折者共 10 5例进行对照分析。结果 因X线平片无典型征象而误诊 33例 ,由于对典型征象缺乏认识而误诊 5 3例 ,由于投照因素漏诊 19例。结论 X线平片对脊柱爆裂骨折的误诊、漏诊率较高 ,提高认识水平和投照质量可减少误、漏诊 ,CT能提高脊柱爆裂骨折的诊断准确率并显示椎管的狭窄程度 ,有利于临床及时正确的处理
Objective To further improve the diagnostic value of CT and X-ray on the diagnosis of spinal burst fracture. Methods Totally 105 cases diagnosed as spondylolisthesis fracture by CT examination and X-ray plain compression fracture or without fracture were collected and analyzed. Results There were 33 cases misdiagnosed because of no typical signs of X-ray and 53 cases misdiagnosed due to the lack of understanding of typical signs. 19 cases were missed due to the factors of projection. Conclusion The misdiagnosis and misdiagnosis rate of X-ray in spine burst fracture are higher. It is suggested that improving the level of cognition and quality of shot can reduce mistakes and missed diagnosis. CT can improve the diagnostic accuracy of spinal burst fracture and show the degree of spinal stenosis, Clinical timely and correct treatment