64排螺旋CT三维重建在胫骨平台骨折修复中的价值

发布时间：2018-07-03 10:31

  本文选题：胫骨 + 骨折　； 参考：《中国组织工程研究》2015年04期

【摘要】：背景:胫骨平台骨折会抑制膝关节正常功能,严重损伤患者下肢功能,而早期诊断措施对预后效果具有关键作用。以往研究虽已存在多层螺旋CT三维重建技术对胫骨平台骨折诊断的相关报道,但将其诊断效果与X射线检查方式对比较为鲜见。目的:分析64排螺旋CT三维重建在胫骨平台骨折修复诊治中的应用效果,并与传统X射线诊治结果进行对比。方法:选择无锡市第九人民医院2012年10月至2013年10月收治的30例胫骨平台骨折患者,对患者进行64排螺旋CT扫描三维重建以及X射线片检查,对检查结果进行分析对比。CT扫描应用GE64排螺旋CT机,扫描范围为胫骨近端,三维重建间距为1 mm,完成扫描后上传工作平台完成图像重建。结果与结论:通过64排螺旋CT三维重建检查,胫骨平台骨折的程度、有无塌陷、碎骨片存在及移位等均可清晰显示,按照HOHI分型:8例Ⅰ型,7例Ⅱ型,4例Ⅲ型,5例Ⅳ型,3例Ⅴ型,3例Ⅵ型,确诊率为100%;X射线诊断结果显示有25例确诊,有3例为疑似诊断,2例不能确诊,确诊率为83%,两种方式确诊率比较差异有显著性意义(P0.05)。患者经手术治疗后取得良好的修复效果,疗效优良率为93%。提示64排螺旋CT三维重建在胫骨平台骨折修复诊治中具有重要的应用价值,能清晰的将胫骨平台骨折的解剖形态特点展现出来,为提高修复效果提供重要依据。
[Abstract]:Background: fracture of tibial plateau can inhibit normal function of knee joint and lower limb function of patients with severe injury. Early diagnosis plays a key role in prognosis. Although there have been related reports on the diagnosis of tibial plateau fractures by using multi-slice spiral CT three-dimensional reconstruction technique in the past, it is rare to compare the diagnostic effect with the X-ray examination method in the diagnosis of tibial plateau fractures. Objective: to analyze the effect of 64-slice spiral CT 3D reconstruction in the repair of tibial plateau fracture and compare it with the traditional X-ray diagnosis and treatment. Methods: from October 2012 to October 2013, 30 patients with tibial plateau fractures were selected from Wuxi Ninth people's Hospital. The results were analyzed and compared. Ct scanning was performed with GE64 spiral CT machine. The scanning range was proximal tibia and the distance of 3D reconstruction was 1 mm. The image reconstruction was completed by uploading work platform after scanning. Results and conclusion: the degree of tibial plateau fracture, collapse, the presence and displacement of bone fragments and so on can be clearly demonstrated by three-dimensional reconstruction of 64-slice spiral CT. According to the HOHI classification of 8 cases of type 鈪，

本文编号：2093344