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目的：比较Ｘ线摄片和ＣＴ扫描在脊柱骨折中的应用价值。方法：分析了我院１９９３～１９９５年４６例脊柱骨折者的Ｘ线和ＣＴ表现，男３０例，女１６例，年龄２２～８０岁。结果：Ｘ线摄片和ＣＴ扫描发现，Ｘ线片对脊柱单纯屈曲压缩型骨折、椎体脱位、半脱位容易确诊，而对某些类型骨折较易误诊和漏诊，诊断符合率８１．６％。ＣＴ扫描可显示骨折部位、类型、骨折片的移位以及骨折片突入椎管，椎管狭窄，还能显示多节段椎体骨折和附件骨折。椎体骨折均为粉碎性。椎体后缘骨折片不同程度突入椎管，占４８％，与椎体骨折类型有关。ＣＴ扫描诊断符合率达９８．６％。结论：在脊柱损伤的诊断中必须Ｘ线摄片和ＣＴ扫描相结合才能提高脊柱损伤的诊断水平。
Objective: To compare the value of X-ray and CT in the diagnosis of spinal fractures. Methods: X - ray and CT findings of 46 cases of spine fractures in our hospital from 1993 to 1995 were analyzed. There were 30 males and 16 females, aged 22-80 years. Results: X-ray and CT scan showed that X-ray films were easy to diagnose simple flexion and compression fractures, vertebral body dislocation and subluxation, misdiagnosis and missed diagnosis of some types of fractures, the diagnostic accuracy rate was 81.6% . CT scan can show the fracture site, type, the displacement of the fracture fragments and fracture fragments into the spinal canal, spinal canal stenosis, but also show multi-segment vertebral fractures and accessory fractures. Vertebral fractures are comminuted. Vertebral trabecular fracture in varying degrees into the spinal canal, accounting for 48%, and vertebral fracture type. CT scan diagnosis rate of 98.6%. CONCLUSIONS: The combination of X-ray and CT scans in the diagnosis of spinal injuries is needed to improve the diagnosis of spinal injuries.