[1]王洪岗,张正丰.18例外伤性颈脊髓损伤患者颈脊髓前动脉CT血管造影观察[J].第三军医大学学报,2012,34(20):2105-2107.
 Wang Honggang,Zhang Zhengfeng.CT angiography for cervical anterior spinal artery after traumatic spinal cord injury: a report of 18 cases[J].J Third Mil Med Univ,2012,34(20):2105-2107.
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18例外伤性颈脊髓损伤患者颈脊髓前动脉CT血管造影观察(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第20期
页码:
2105-2107
栏目:
论著
出版日期:
2012-10-30

文章信息/Info

Title:
CT angiography for cervical anterior spinal artery after traumatic spinal cord injury: a report of 18 cases
作者:
王洪岗张正丰
第三军医大学新桥医院骨科
Author(s):
Wang Honggang Zhang Zhengfeng
Department of Orthopedics, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, China
关键词:
脊髓损伤缺血脊髓前动脉CT血管造影
Keywords:
spinal cord injury ischemia anterior spinal artery CT angiography
分类号:
R651.204;R814.42;R814.43
文献标志码:
A
摘要:
目的      观察外伤性颈脊髓损伤患者脊髓前动脉情况以及脊髓前动脉情况与神经学症状及临床预后的关系。      方法      2008年1月至2011年8月,我科采用64排螺旋CT机对18例颈髓损伤患者行脊髓前动脉造影;通过ADW 4.3软件进行图像处理,采用双斜位MPR观察局部血管与周围结构的关系;伤后5~10 d,13例行颈前路减压植骨融合内固定术,5例未行手术,平均随访11个月。      结果      除1例刀割伤患者,其余17例患者颈脊髓前动脉均显影,2例患者在行脊髓前动脉CT血管造影时前根动脉显影,未见中央动脉显影;1例前动脉断裂者随访13个月后神经学症状无缓解,17例脊髓前动脉无断裂者神经学症状改善情况各不相同。      结论      脊髓前动脉CT血管造影是观察评估脊髓损伤后脊髓前动脉情况的一种有效方法,颈脊髓损伤患者脊髓前动脉不易受损,脊髓损伤后临床表现、后期神经功能恢复与脊髓前动脉无直接关系。
Abstract:
Objective      To observe the lesions of anterior spinal artery in patients after spinal cord injury, and investigate the relations among lesions of anterior spinal artery, neurological symptoms, and prognosis.       Methods      From Jan 2008 to August 2011, angiography of anterior spinal artery was performed with 64 slices spiral CT in 18 spinal cord injured patients, and the obtained images were processed by ADW 4.3 software. The relations between anterior spinal artery and the surrounding structures were investigated by using double oblique multi-planer reformation technique. In 5 to 10 d after injury, 13 cases underwent anterior route cervical discectomy and internal fixation, and the other 5 cases had no operation. The mean follow-up time was 11 months.       Results      Except 1 case of knife trauma, all cervical anterior spinal arteries were developed in the 17 cases. In some cases, cervical anterior radicular arteries were developed, while the development of central anterior spinal artery was not observed in those cases. No recovery of the neurological symptoms was observed in patients with anterior spinal artery lesion after 13 moths of follow-up, while the recoveries of the neurological symptoms in those 17 cases were different.       Conclusion      Multi-slice spiral CT angiography of anterior spinal artery is an effective way to evaluate the lesions of anterior spinal artery in patients with spinal cord injury. Anterior spinal artery is not vulnerable in spinal cord injury. There is no direct relations among the clinical manifestation, the neurological symptoms and prognosis, and the lesions of anterior spinal artery.

参考文献/References:

王洪岗, 张正丰. 18例外伤性颈脊髓损伤患者颈脊髓前动脉CT血管造影观察[J]. 第三军医大学学报,2012,34(20):2105-2107.

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更新日期/Last Update: 2012-10-18