{"id":38683,"date":"2024-07-23T05:10:06","date_gmt":"2024-07-23T05:10:06","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=38683"},"modified":"2024-07-23T05:10:06","modified_gmt":"2024-07-23T05:10:06","slug":"%e4%b8%89%e6%9f%b1%e7%90%86%e8%ae%ba%e5%8f%8a%e8%84%8a%e6%9f%b1%e9%aa%a8%e6%8a%98%e5%bd%b1%e5%83%8f%e8%a6%81%e7%82%b9%ef%bc%88%e5%88%86%e7%b1%bb%e3%80%81%e6%97%b6%e6%9c%9f%e3%80%81%e5%8e%9f%e5%9b%a0","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=38683","title":{"rendered":"\u4e09\u67f1\u7406\u8bba\u53ca\u810a\u67f1\u9aa8\u6298\u5f71\u50cf\u8981\u70b9\uff08\u5206\u7c7b\u3001\u65f6\u671f\u3001\u539f\u56e0\uff09\uff01"},"content":{"rendered":"<p>\u65e2\u5f80\u6587\u7ae0\u6c47\u603b<\/p>\n<p>\u4e3a\u4e86\u65b9\u4fbf\u5927\u5bb6\u67e5\u627e\u65e2\u5f80\u516c\u4f17\u53f7\u6587\u7ae0\uff0c\u7279\u505a\u4e86\u4e00\u4e2a\u5927\u6c47\u603b\u3002\u94fe\u63a5\u5982\u4e0b\uff1a<\/p>\n<h2>\u516c\u4f17\u53f7\u6240\u6709\u6587\u7ae0\u548c\u89c6\u9891\u90fd\u7ed9\u60a8\u5206\u7c7b\u597d\u4e86\uff01<\/h2>\n<p>\u672c\u6587\u4e3a\u300a\u5f71\u50cf\u8bca\u65ad\u6280\u5de7&nbsp;\u8981\u70b9\u4e0e\u76f2\u70b92\u300b\u8bfb\u4e66\u7b14\u8bb0\uff0c\u7531\u5f71\u50cf\u6c47\u516c\u4f17\u53f7\u6574\u7406\u6392\u7248\uff0c\u4ec5\u4f9b\u4e2a\u4eba\u590d\u4e60\u67e5\u9605\uff0c\u8f6c\u8f7d\u8bf7\u6ce8\u660e\u51fa\u5904\u3002<\/p>\n<p>\u6211\u4eec\u5148\u4ee5\u8170\u690e\u4e3a\u4f8b\u5b66\u4e60\u4e00\u4e0b\u6b63\u5e38\u7684\u89e3\u5256\u7ed3\u6784\u53ca\u5176\u8981\u70b9\u3002<\/p>\n<\/p>\n<p>\u5173\u952e\u70b9\u810a\u690e\u7684\u89e3\u5256\u7ed3\u6784<\/p>\n<ul>\n<li>\n<p>\u690e\u9aa8\u7531\u690e\u4f53\u548c\u690e\u5f13\u7ec4\u6210\u3002\u690e\u5f13\u540e\u65b9\u6b63\u4e2d\u6709\u68d8\u7a81\uff0c\u5916\u4fa7\u6709\u6a2a\u7a81\uff0c\u4e0a\u65b9\u548c\u4e0b\u65b9\u5206\u522b\u5ef6\u4f38\u6709\u4e0a\u5173\u8282\u7a81\u548c\u4e0b\u5173\u8282\u7a81\uff0c\u76f8\u90bb\u7684\u5173\u8282\u7a81\u6784\u6210\u5173\u8282\u7a81\u5173\u8282\uff08\u56fe12-1\uff0c12-2) \u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u690e\u4f53\u548c\u690e\u95f4\u76d8\u7684\u524d\u9762\u548c\u540e\u9762\u5206\u522b\u9644\u7740\u7740\u524d\u7eb5\u97e7\u5e26\u548c\u540e\u7eb5\u97e7\u5e26\uff0c\u5b83\u4eec\u8d2f\u7a7f\u810a\u67f1\uff0c\u690e\u7ba1\u540e\u65b9\u9644\u7740\u7740V \u5b57\u5f62\u7684\u9ec4\u97e7\u5e26\uff08\u56fe12-2) \u3002\u4e0a\u3001\u4e0b\u4e24\u4e2a\u68d8\u7a81\u95f4\u6709\u68d8\u95f4\u97e7\u5e26\uff0c\u68d8\u7a81\u524d\u7aef\u6709\u68d8\u4e0a\u97e7\u5e26\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u7531\u690e\u4f53\uff08\u690e\u95f4\u76d8\uff09\u548c\u690e\u5f13\u56f4\u6210\u7684\u90e8\u5206\u79f0\u4e3a\u690e\u5b54\uff0c\u5176\u4e0a\u4e0b\u76f8\u8fde\u5f62\u6210\u690e\u7ba1\uff0c\u810a\u9ad3\u548c\u9a6c\u5c3e\u5728\u5176\u4e2d\u901a\u8fc7\u3002\u690e\u7ba1\u5206\u4e3a\u810a\u9ad3\u548c\u9a6c\u5c3e\u6240\u5728\u7684\u4e2d\u592e\u7ba1\uff08\u4e2d\u592e\u533a\u57df\uff09\u548c\u5916\u4fa7\u533a\u57df\uff0c\u5916\u4fa7\u533a\u57df\u5206\u4e3a\u5916\u4fa7\u51f9\u9677\u3001\u690e\u95f4\u5b54\u548c\u690e\u95f4\u5b54\u5916\u3002\u4e2d\u5fc3\u6027\u72ed\u7a84\u4f1a\u5bfc\u81f4\u810a\u9ad3\u548c\u9a6c\u5c3e\u75c7\u72b6\uff0c\u5916\u4fa7\u72ed\u7a84\u4f1a\u5bfc\u81f4\u795e\u7ecf\u6839\u75c7\u72b6\uff08\u6ce8\u610f\u75c7\u72b6\u4e0d\u540c\uff09\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u4e86\u89e3\u5b8c\u89e3\u5256\uff0c\u6211\u4eec\u6765\u770b\u75c5\u4f8b1\u3002<\/p>\n<p>60\u5c81\u5973\u6027\uff0c\u4ece\u697c\u68af\u4e0a\u6454\u4e0b\u5bfc\u81f4\u8170\u75db\u4e14\u65e0\u6cd5\u6d3b\u52a8\uff0c\u88ab\u9001\u81f3\u6025\u8bca\u3002<\/p>\n<\/p>\n<p>\u4e0a\u56fe\uff0cL2\u690e\u4f53\u538b\u7f29\u6027\u9aa8\u6298\uff0c\u7531\u4e8e\u6709\u5411\u540e\u7a81\u51fa\u7684\u9aa8\u788e\u7247\uff0c\u690e\u7ba1\u4e5f\u53d8\u72ed\u7a84\u4e86\uff08\u7ea2\u5708\uff09\u3002<\/p>\n<p>\u5e7f\u4e49\u4e0a\u53ef\u4ee5\u5c06\u8fd9\u4e2a\u75c5\u4f8b\u7406\u89e3\u4e3a\u538b\u7f29\u6027\u9aa8\u6298\uff0c\u4f46\u6211\u8ba4\u4e3a\u6700\u51c6\u786e\u7684\u8bf4\u6cd5\u5e94\u662f\u7206\u88c2\u6027\u9aa8\u6298\u3002<\/p>\n<p>\u5173\u4e8e\u80f8\u690e\u548c\u8170\u690e\u635f\u4f24\uff0cDenis\u7684\u201c \u4e09\u67f1\u7406\u8bba(three column theory) &#8216;\u5728\u5f88\u4e45\u4ee5\u524d\u5c31\u88ab\u63a8\u5d07\u4e86\uff0c\u6240\u4ee5\u5728\u8fd9\u91cc\u8981\u8bb0\u4f4f\u3002<\/p>\n<p>\u5173\u952e\u70b9\u4e09\u67f1\u7406\u8bba<\/p>\n<p>Denis\u5c06\u810a\u690e\u5206\u4e3a\u4ee5\u4e0b3\u4e2a\u67f1\uff0c\u6839\u636e\u53d7\u635f\u67f1\u7684\u6570\u91cf\u548c\u90e8\u4f4d\u6765\u8bc4\u4f30\u5916\u4f24\u65f6\u810a\u67f1\u7684\u4e0d\u7a33\u5b9a\u6027\u3002<\/p>\n<ul>\n<li>\n<p>\u524d\u67f1(anterior column)\uff1a\u5305\u62ec\u524d\u7eb5\u97e7\u5e26\u3001\u690e\u4f53\u524d1\/2\u548c\u690e\u95f4\u76d8\u524d1\/2\u3002<\/p>\n<\/li>\n<li>\n<p>\u4e2d\u592e\u67f1(middle column)\uff1a\u5305\u62ec\u690e\u4f53\u540e1\/2\u3001\u690e\u95f4\u76d8\u540e1\/2 \u548c\u540e\u7eb5\u97e7\u5e26\u3002<\/p>\n<\/li>\n<li>\n<p>\u540e\u67f1(posterior column)\uff1a\u5305\u62ec\u690e\u95f4\u5173\u8282\u3001\u5173\u8282\u56ca\u3001\u9ec4\u97e7\u5e26\u3001\u68d8\u7a81\u3001\u68d8\u4e0a<\/p>\n<\/li>\n<\/ul>\n<p>\u97e7\u5e26\u548c\u68d8\u95f4\u97e7\u5e26\u3002<\/p>\n<p>\u4e2d\u592e\u67f1\u88ab\u8ba4\u4e3a\u662f\u7279\u522b\u91cd\u8981\u7684\u7ed3\u6784\uff0c\u7d2f\u53ca\u4e2d\u592e\u67f1\u7684\u5916\u4f24\u4e3a\u4e0d\u7a33\u5b9a\u635f\u4f24\u3002\u6839\u636e\u4e09\u67f1\u7406\u8bba\uff0c\u80f8\u690e\u548c\u8170\u690e\u635f\u4f24\u5927\u81f4\u5206\u4e3a\u538b\u7f29\u6027\u9aa8\u6298(compression fracture)\u3001\u7206\u88c2\u6027\u9aa8\u6298(burst fracture)\u3001\u5b89\u5168\u5e26\u578b\u635f\u4f24(seatbelt-type injury)\u548c\u9aa8\u6298\u8131\u4f4d(fracture-dislocation)\u3002\u5982\u4e0b\u56fe\uff1a<\/p>\n<\/p>\n<p>\u538b\u7f29\u6027\u9aa8\u6298\uff1a\u4ee5\u524d\u67f1\u53d7\u635f\u4e3a\u4e3b\u7684\u7a33\u5b9a\u635f\u4f24\u3002\u5728\u5c48\u66f2\u4f4d\uff0c\u7531\u4e8e\u5782\u76f4\u6027\u538b\u529b\u589e\u52a0\uff0c\u690e\u4f53\u540e\u7f18\u7684\u9ad8\u5ea6\u4fdd\u6301\u4e0d\u53d8\uff0c\u690e\u4f53\u5448\u6954\u5f62\u53d8\uff0c\u4f46\u9aa8\u8d28\u758f\u677e\u75c7\u5f15\u8d77\u7684\u538b\u7f29\u6027\u9aa8\u6298\u6709\u65f6\u4f1a\u9020\u6210\u690e\u4f53\u7684\u9c7c\u690e\u5316\u6216\u6241\u5e73\u5316\u3002<\/p>\n<p>\u7206\u88c2\u6027\u9aa8\u6298\uff1a\u8f74\u5411\u7684\u8d1f\u8377\u9020\u6210\u524d\u67f1\u548c\u4e2d\u592e\u67f1\u635f\u4f24\u7684\u60c5\u51b5\uff0c\u5c5e\u4e8e\u4e0d\u7a33\u5b9a\u635f\u4f24\uff0c\u6e38\u79bb\u7684\u9aa8\u7247\u7a81\u51fa\u5230\u690e\u7ba1\u5185\uff0c\u53ef\u80fd\u51fa\u73b0\u690e\u7ba1\u538b\u8feb\u75c7\u72b6\u3002\u5927\u591a\u6570\u9700\u8981\u8fdb\u884c\u624b\u672f\u6cbb\u7597\u3002<\/p>\n<p>\u5b89\u5168\u5e26\u578b\u635f\u4f24\uff1a\u8f66\u8f86\u7d27\u6025\u5239\u8f66\u65f6\uff0c\u810a\u690e\u4ee5\u5b89\u5168\u5e26\u4e3a\u8f74\u6298\u53e0\uff0c\u7275\u5f15\u529b\u5bf9\u540e\u67f1\u548c\u4e2d\u592e\u67f1\u9020\u6210\u635f\u4f24\u7684\u60c5\u51b5\uff0c\u5c5e\u4e8e\u4e0d\u7a33\u5b9a\u635f\u4f24\uff0c\u53ef\u5206\u4e3a\u53ea\u635f\u4f24\u9aa8\u6027\u7ed3\u6784\u7684\u7c7b\u578b\u3001\u53ea\u635f\u4f24\u97e7\u5e26\u7684\u7c7b\u578b\u548c\u4e24\u79cd\u7ed3\u6784\u90fd\u635f\u4f24\u7684\u7c7b\u578b\uff0c\u53ea\u635f\u4f24\u9aa8\u6027\u7ed3\u6784\u7684\u7c7b\u578b\u79f0\u4e3aChance\u9aa8\u6298\u3002<\/p>\n<p>\u9aa8\u6298\u8131\u4f4d\uff1a\u4e09\u67f1\u5168\u90e8\u635f\u4f24\u7684\u60c5\u51b5\uff0c\u5c5e\u4e8e\u4e0d\u7a33\u5b9a\u635f\u4f24\uff0c\u591a\u8868\u73b0\u4e3a\u795e\u7ecf\u75c7\u72b6\uff0c\u7528MRI\u7b49\u8fdb\u884c\u795e\u7ecf\u635f\u4f24\u8bc4\u4f30\u4e5f\u662f\u5fc5\u8981\u7684\u3002<\/p>\n<p>\u5728\u75c5\u4f8b1\u4e2d\u53ef\u4ee5\u770b\u5230\u524d\u67f1\u548c\u4e2d\u592e\u67f1\u90fd\u6709\u635f\u4f24\uff0c\u76f8\u5f53\u4e8e\u7206\u88c2\u6027\u9aa8\u6298\u3002<\/p>\n<p>Denis\u7684\u5206\u7c7b\u7b80\u5355\uff0c\u5bb9\u6613\u7406\u89e3\uff0c\u518d\u73b0\u6027\u4e5f\u5f88\u9ad8\u3002\u4f46\u56e0\u4e3a\u5b83\u8fc7\u4e8e\u7b80\u5355\uff0c\u6240\u4ee5\u4e0d\u9002\u7528\u4e8e\u590d\u6742\u9aa8\u6298\u7684\u8bc4\u4f30\uff0c\u8fd8\u6709\u4e00\u4e2a\u95ee\u9898\uff0c \u5c31\u662f\u6ca1\u6709\u63d0\u5230\u540e\u65b9\u97e7\u5e26\u7684\u635f\u4f24\u3002<\/p>\n<p>\u6211\u4eec\u518d\u6765\u770b\u75c5\u4f8b2\u300270\u5c81\u5973\u6027\uff0c\u4e3b\u8bc9\u8dcc\u5012\u540e\u8170\u75db\uff0c\u65e0\u6076\u6027\u80bf\u7624\u75c5\u53f2\u3002<\/p>\n<\/p>\n<p>\u4e0a\u56fe\uff0cX\u7ebf\u7247\u4e2d\uff0cT12\u690e\u4f53\u548cL3\u7684\u690e\u4f53\u6709\u6954\u5f62\u53d8\uff0c\u6240\u4ee5\u8bca\u65ad\u4e3a\u538b\u7f29\u6027\u9aa8\u6298\u3002<\/p>\n<p>\u6211\u4eec\u6ce8\u610f\u5230\uff0c\u4e0a\u56fe3\u4e3a\u78c1\u5171\u632fSTIR\u5e8f\u5217\uff0c\u6211\u4eec\u6765\u4e86\u89e3\u4e00\u4e0b\u76f8\u5173\u77e5\u8bc6\u3002<\/p>\n<p>STIR\u662f\u5229\u7528\u6c34\u548c\u8102\u80aa\u7684\u7eb5\u5411\u9a70\u8c6b\u65f6\u95f4\u5dee\u5f02\u8fdb\u884c\u7684\u975e\u9009\u62e9\u6027\u8102\u80aa\u6291\u5236\u6cd5\u3002\u75c5\u53d8\u5728T2\u52a0\u6743\u50cf\u4e2d\u5448\u9ad8\u4fe1\u53f7\u7684\u60c5\u51b5\u6bd4\u8f83\u591a\uff0c\u800c\u6b63\u5e38\u7684\u810a\u690e\uff08\u53cd\u6620\u8102\u80aa\u9ad3\uff09\u5728T2 \u52a0\u6743\u50cf\u4e2d\u4e5f\u5448\u9ad8\u4fe1\u53f7\uff0c\u6240\u4ee5\u5982\u679c\u540c\u65f6\u4f7f\u7528\u8102\u80aa\u6291\u5236\uff0c\u5c31\u53ef\u4ee5\u7a81\u51fa\u75c5\u53d8\u3002\u867d\u7136\u7701\u7565\u4e86\u5176\u4ed6\u8be6\u7ec6\u5185\u5bb9\uff0c\u4f46\u662fSTIR\u4e0e\u901a\u5e38\u7684\u5316\u5b66\u4f4d\u79fb\u9009\u62e9\u9971\u548c\u6280\u672f(chemical-shift selective saturatiion, CHESS)\u76f8\u6bd4\uff0c\u66f4\u5bb9\u6613\u5f97\u5230\u5747\u5300\u7684\u8102\u80aa\u6291\u5236\uff0c\u6240\u4ee5\u5728\u810a\u690e\u533a\u57df\u7ecf\u5e38\u4f7f\u7528\u3002<\/p>\n<p>\u5173\u952e\u70b9\u810a\u690eMRI\u4fe1\u53f7\u6a21\u5f0f\u7279\u70b9<\/p>\n<p>\u901a\u5e38\u6210\u4eba\u690e\u4f53\u4e2d\u7684\u9aa8\u9ad3\u662f\u9ec4\u9aa8\u9ad3\uff08\u8102\u80aa\u9ad3\uff09\uff0c\u56e0\u6b64\u5728T1\u52a0\u6743\u50cf\u548cT2 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