螺旋CT三维重建对髋臼骨折的临床应用价值

目的:评价多层螺旋CT三维重建在髋臼骨折中的临床应用价值.方法:对38例髋臼骨折患者的X线平片、CT三维重建资料进行回顾性分析.结果:X线平片确诊34例,疑诊3例,漏诊1例,对其中24例正确分型.CT三维重建对38例髋臼骨折的患者均明确诊断,且均能正确分型.结论:多层螺旋CT三维重建能立体、多方位、准确地显示髋臼骨折的部位、范围、碎骨片等情况,对髋臼骨折的诊断、分型及手术方案制定优于X线平片,有较人的临床应用价值.

The Clinical Value of 3 Dimensional Reconstruction for Multiplex Spiral CT in Acetabulum Fracture

Objective:To evaluate the clinical value of 3 dimensional reconstruction for multiplex spiral computer tomography(MSCT)in acetabulum fracture.Methods:38 patients with acetabulum fracture examined by X-ray plain film and 3 dimensional reconstruction imaging were analysed retrospectively.Results:In 38 cases with acetabulum fracture,34 patients were diagnosed accurately,3 patients was suspected,and 1 patient was missed by X-ray plain film,24 patients were classificated accurately by X-ray plain film.38 patients with acetabulum fracture were diagnosed accurately and classificated by 3 dimensional reconstruction imaging.Conclusion:3 dimensional reconstruction for multiplex spiral CT could clearly demonstrate the acetabulum fracture location, sizeand so on.3 dimensional reconstruction for MSCT is better than X-ray,it plays an important role in the diagnosis of acetabulum fracture and in the surgical plan designing.