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16层螺旋CT重建在距骨骨折的应用价值
作者:陈兴明 梁振华 
单位:佛山市中医院
关键词:距骨骨折 脱位 螺旋CT 三维重建 
分类号:R445
出版年·卷·期(页码):2010·第19卷·第一期(87-92)
摘要:
目的:研究16层螺旋CT多平面(MPR)、三维(3D)重建在距骨骨折中的临床应用价值。资料与方法:对132例距骨骨折患者的X射线平片、16层螺旋CT-MPR、3D重建影像资料对比分析。结果:132例距骨骨折中,16层螺旋CT-MPR、3D重建骨折和脱位全部显示,X射线平片查出骨折99例,脱位31例。骨折X射线平片检出率75%,三维重建检查检出率100%,脱位X射线平片检出率87%,三维重建检查检出率100%。结论:16层螺旋CT多平面和三维重建,可更好地显示距骨骨折和脱位,对术前诊断和治疗有很大价值,尤其是对距骨细微骨折和半脱位的诊断。
Objective: To study the clinical application of 16-slice spiral CT’s multiplanar reconstruction (MPR) and three Dimension (3D) reconstruction images in evaluation of talus fractures. Materials and Methods: A retrospective analysis was done for 132 cases of talus fractures who received both the X-ray examination and the 16-slice spiral CT examination. Their plain films, 2D trans-axial images and 3D reconstruction images of 16-slice spiral CT examination were compared and analyzed. Results: MPR and 3D images showed all of the fractures and dislocation in 132 cases. X-ray plain films showed 99 cases of fractures and 31cases of dislocation, which their detecting rate was 75% and 87% respectively. Conclusion: 16-slice spiral CT images with MPR and 3D reconstruction can provide more valuable information for the clinical diagnosis and therapy of talus fractures and dislocation.
参考文献:
[1] 徐荣秀, 胡剑波, 肖林, 等. 螺旋CT多平面和三维重组在距骨骨折中的诊断价值[J]. 临床放射学杂志, 2008, 27(8): 1124-1125.
Xu RX, Hu JB, Xiao L, et al. The diagnostic value of spiral CT 3D and MPR
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