多层螺旋CT在踝关节外伤诊断中的应用

目的:探讨多层螺旋CT(MSCT)在踝关节外伤中的诊断价值。方法:回顾性分析21例踝关节扭伤后行X线平片(DR)及MSCT检查的患者影像资料。结果:确诊骨折20例,MSCT扫描检查共检出骨折46处,包括内踝13例,外踝17例,胫骨下端前结节4例,后踝12例,均可清晰显示骨折线走行及骨折块大小、移位情况。DR共检出骨折37处。结论:MSCT可准确对踝关节外伤所致骨折做出诊断,尤其可清晰显示胫骨下端前结节及后踝骨折情况。

The application of Multislice Spiral CT in Diagnosis of the Ankle Joint Injury

Objective： To discuss the value of Multislice spiral CT in diagnosis of the ankle joint injury. Methods： Retrospective analysis of 21 patients with ankle joint sprain were examined by X-ray and Multislice spiral CT. Results： In 20 patients, CT showed 46 fractures, included 13 fractures of internal malleolus, 17 fractures of external malleolus, 4 fractures of anterior malleolus and 12 fractures of posterior malleolus, respectively, and DR showed 37 fractures, MSCT could accurately showed the fractures of the ankle joint. Conclusion： MSCT could accurately diagnose the fractures of the ankle joint, especially in diagnosis of fractures of posterior malleolus and anterior malleolus.