老年隐匿性骨折64层VCT诊断价值

发布时间：2018-05-12 10:50

本文选题：老年患者 + 隐匿性骨折　；参考：《中国地方病防治杂志》2017年08期

【摘要】：目的探讨64层VCT对复杂结构隐匿性骨折的诊断,着重分析老年性骨质疏松后隐匿性骨折的CT影像特点。方法 60岁以上复杂结构骨折43例,通过特殊的CT图像后处理软件得到高清晰度的二维MPR和MIP图像及三维SSD和VR图像,经有经验的放射科医师共同阅片,分析64层VCT及其后处理功能与骨折的最佳显示方法。结果所有病例均行DR摄片及64层VCT扫描,其中股骨上段骨折7例,骨盆及髋部骨折7例,胫骨上端骨折5例,足部骨折3例,上肢及肩部骨折10例,脊柱及其附件骨折11例。经64层VCT图像后处理分析得到明确诊断。结论所有老年人复杂部位临床和DR疑似骨折者均须行MSCT检查,尤其是64层VCT扫描并图像后处理分析方可杜绝误诊与漏诊,更好指导临床治疗。
[Abstract]:Objective to investigate the diagnosis of occult fracture with complex structure by 64 slice VCT, and to analyze the CT features of occult fracture after osteoporosis. Methods Forty-three cases of complex structural fractures over 60 years old were obtained by special post-processing software of CT images. High-resolution two-dimensional MPR and MIP images and three-dimensional SSD and VR images were obtained. The images were read by experienced radiologists. To analyze the best display method of 64-layer VCT and its postprocessing function and fracture. Results all patients underwent Dr radiography and 64-slice VCT scan, including 7 cases of fracture of upper femur, 7 cases of pelvic and hip fracture, 5 cases of fracture of upper tibia, 3 cases of foot fracture, 10 cases of fracture of upper limb and shoulder, 11 cases of fracture of spine and its adnexa. A clear diagnosis was obtained by post-processing analysis of 64-layer VCT images. Conclusion all elderly patients with complicated site and suspected Dr fracture should be examined by MSCT, especially 64-slice VCT scan and image post-processing analysis to prevent misdiagnosis and missed diagnosis, and to guide clinical treatment better.
【作者单位】：黔东南州中医医院影像科;
【基金】：黔东南州科技计划课题[合同号:黔东南科合J字(2014)400]
【分类号】：R683;R816.8

【相似文献】