多层螺旋CT扫描在胫骨平台粉碎性骨折诊断中的应用

发布时间：2018-06-15 09:45

本文选题：多层螺旋CT扫描 + 胫骨平台粉碎性骨折　；参考：《中国CT和MRI杂志》2016年07期

【摘要】：目的探讨多层螺旋CT(multislice spiral computed tomography,MSCT)及后重建技术在胫骨平台粉碎性骨折诊断中的应用价值。方法回顾性分析2015年1月至2015年12月我院治疗的120例胫骨平台骨折患者的病例。所有患者均行膝关节正侧位DR平片、螺旋CT检查及多平面重建(multi planar reconstruction,MPR)、容积再现(volume rendering,VR)图像后处理,然后对检查结果进行Schatzker分型,比较两种影像学检查对胫骨平台骨折进行Schatzker分型结果的差异。结果对胫骨平台骨折Schatzker分型,多层螺旋CT检测符合率明显高于DR平片检测符合率,且差异有统计学意义(P0.05)。结论多层螺旋CT扫描在胫骨平台粉碎性骨折诊断中有一定的优势,可以进行立体、多平面、多角度成像,更精确地显示骨折的形态、部位、类型以及关节面损坏程度等信息,为胫骨平台粉碎性骨折Schatzker分型提供一定的依据,对临床诊治有指导作用,值得推广应用。
[Abstract]:Objective to evaluate the value of multislice spiral computed tomographygraphy (MSCT) and post-reconstruction in the diagnosis of comminuted fracture of tibial plateau. Methods 120 cases of tibial plateau fracture treated in our hospital from January 2015 to December 2015 were retrospectively analyzed. All the patients were treated with Dr plain film of the knee joint, spiral CT and multiplanar reconstruction of multi planar reconstruction MPRA, volume rendering, and then Schatzker classification was performed. The Schatzker classification results of tibial plateau fractures were compared. Results according to Schatzker classification of tibial plateau fracture, the coincidence rate of multi-slice spiral CT was significantly higher than that of Dr plain film, and the difference was statistically significant (P 0.05). Conclusion Multi-slice spiral CT scan has some advantages in the diagnosis of comminuted fracture of tibial plateau. It can be used for three-dimensional, multi-plane and multi-angle imaging to show more accurately the shape, position, type and degree of damage to the articular surface of the fracture. It provides some basis for Schatzker classification of comminuted fracture of tibial plateau. It can guide clinical diagnosis and treatment and is worth popularizing.
【作者单位】：西安交通大学医学院附属3201医院骨科;
【分类号】：R683;R816.8

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