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Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例,所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶,其中4例为两对母子关系,并见两位母亲合并有肾脏错构瘤,;②神经纤维瘤病1例,MRI表现为椎管异常,胸腰段脊柱侧弯,椎体后缘呈明显的切凹改变;伴有双肾发育不良,CT示肾内多个高密度影,背部皮肤多量脂肪堆积,③脑颜面血管瘤综合征6例, CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化,部分延伸致侧脑室内,增强后见病灶内有扭曲的条状和结节状明显强化的血管影;④小脑血管瘤病4例,影像学表现为小脑内大囊、小结节样占位性病变。

Results MPR and SSD techniques can acquire lots of important information:(1)rule out the diagnosis of fracture and dislocation and its type can be patient has been injured so badly that cannot take X-ray examination.(2)detect the secret fracture and missing fracture in X-ray examination because of overlap.(3)diagnose the missing transverse fracture in routine CT scan.(4)diagnose the atlantoaxial joint luxation without fracture.

结果 MSCT扫描MPR、SSD技术在寰枢椎外伤中可:(1)对于外伤后病情不适合拍平片者,MSCT能快速、准确地明确骨折、脱位的有无及其类型;(2)MSCT轴位扫描结合MPR能排除因平片结构重叠漏诊的骨折以及平片不易发现的隐匿骨折;(3)MPR对椎体发生的常规轴位扫描易漏诊的水平型骨折线能明确诊断;(4)对于没有骨折的寰枢关节半脱位能提供可靠的依据。

Results MPR and SSD techniques can acquire lots of important information:(1)rule out the diagnosis of fracture and dislocation and its type can be when patient has been injured so badly that cannot take X-ray examination.(2)detect the secret fracture and missing fracture in X-ray examination because of overlap.(3)diagnose the missing transverse fracture in routine CT scan.(4)diagnose the atlantoaxial joint luxation without fracture.

结果 MSCT扫描MPR、SSD技术在寰枢椎外伤中可:(1)对于外伤后病情不适合拍平片者,MSCT能快速、准确地明确骨折、脱位的有无及其类型;(2)MSCT轴位扫描结合MPR能排除因平片结构重叠漏诊的骨折以及平片不易发现的隐匿骨折;(3)MPR对椎体发生的常规轴位扫描易漏诊的水平型骨折线能明确诊断;(4)对于没有骨折的寰枢关节半脱位能提供可靠的依据。

Results MPR and SSD techniques can acquire lots of important information摘要:(1)rule out the diagnosis of fracture and dislocation and its type can be when patient has been injured so badly that cannot take X-ray examination.(2)detect the secret fracture and missing fracture in X-ray examination because of overlap.(3)diagnose the missing transverse fracture in routine CT scan.(4)diagnose the atlantoaxial joint luxation without fracture.

结果 MSCT扫描MPR、SSD技术在寰枢椎外伤中可摘要:(1)对于外伤后病情不适合拍平片者,MSCT能快速、准确地明确骨折、脱位的有无及其类型;(2)MSCT轴位扫描结合MPR能排除因平片结构重叠漏诊的骨折以及平片不易发现的隐匿骨折;(3)MPR对椎体发生的常规轴位扫描易漏诊的水平型骨折线能明确诊断;(4)对于没有骨折的寰枢关节半脱位能提供可靠的依据。

Results MPR and SSD techniques can acquire lots of important information:(1)rule out the diagnosis of frac-ture and dislocation and its type can be when patient has been injured so badly that cannot take X-ray examination.(2)detect the secret fracture and missing fracture in X-ray examination because of overlap.(3)diagnose the missing transverse fracture in routine CT scan.(4)diagnose the atlantoaxial joint luxation without fracture.

结果 MSCT扫描MPR、SSD技术在寰枢椎外伤中可:(1)对于外伤后病情不适合拍平片者,MSCT能快速、准确地明确骨折、脱位的有无及其类型;(2)MSCT轴位扫描结合MPR能排除因平片结构重叠漏诊的骨折以及平片不易发现的隐匿骨折;(3)MPR对椎体发生的常规轴位扫描易漏诊的水平型骨折线能明确诊断;(4)对于没有骨折的寰枢关节半脱位能提供可靠的依据。

Methods: Injured patients of cervical spine was cayyied on X-ray inspection.,then according to the result of ADI and LADS ,next to CT or MRI inspection ,and that was to guide clinical diagonosis and treatment.To observe atlanto-dental interval (anterior arch of atlas posterior border to odontoid process anterior border) and odontoid process caster(included angle between axis of ordinate of odontoid process and axis of ordinate of odontoid vertebra) on the X-ray lateral projection.

对有颈部外伤史的病人常规行X线检查,然后根据寰齿间距和齿突侧块间隙的结果,行下一步CT检查或者MRI检查,指导临床治疗方法的选择。X线侧位片观察寰齿前间隙(为寰椎前弓后缘与齿突前缘距离),齿状突后倾角(齿突纵轴与枢椎体纵轴的夹角);开口正位片上测定齿突侧块间隙。

Using the distortion-compensated roentgen analysis method, disc height, dorsoventral displacement, and lordosis were measured in 212 unfused segments from 62 patients, on digitized standing radiographs taken before fusion surgery and after a mean follow-up of 7.5 years (range, 4-11 years).

在标准数字化X光片上,比较术前和术后平均7.5年(4-11年)后62个病人212个未融合节段的椎间盘高度、椎体滑脱及脊柱前凸的情况,可变的影响因素如年齡、随访时间的长度、融合水平、融合节段数、融合节段上下方向和手术前后椎管的改变,用重复测量模型进行分析。

Methods An exposure via the twelfth rib extrapleural and retroperitoneal was used, retenting of the twelfth rib at L1 fracture; only dealing with artery of the injured vertebra; adjusting the screw position and improving the operation procedure, at the same time the deliberate hypotension was performed.

采用经第12肋胸膜外—腹膜后入路显露,L1骨折保留第12肋;对伤椎相邻椎体血管不予处理;对螺钉固定位置和操作程序进行改进;同时实施控制性降压。

Besides, TLIF need to resect the articular process unilaterally, and it will lead to decrease the stability postoperatively. Intertransverse lumbar interbody fusion is performed through the intertransversse area, with no bony structure destroyed and veterbral canal offend.

而TLIF通过切除一侧关节突后,斜向通过椎管侧方进行椎体间融合,降低了神经根、马尾及硬膜损伤的可能性,并可减少术后腰椎不稳、滑脱等并发症的发生,临床应用广泛。

When the spine is focally kyphotic, particularly when there is a fixed kyphosis, or in the presence of anterior compression from a disc protrusion or spondylotic bar at 1 or 2 segments, an anterior surgical decompression (vertebrectomy or multiple discectomies) is indicated.19 Fusion and stabilization by means of an anterior strut and plate is also supported.27

当颈椎处于明显的后凸,尤其是僵硬性后凸,或者颈髓压迫来自前方的1到2个节段的突出椎间盘或椎间关节时,经过前方入路进行减压(椎体切除或多节段椎间盘切除)是合适的。融合固定的方法包括前方支撑和钉板系统固定。

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