摘要
目的探讨螺旋CT三维重建（3D）对胫骨平台骨折的诊断和治疗价值。方法对15例胫骨平台骨折的患者行X线片及16层螺旋CT扫描，并三维重建成像，对骨折进行分型，评估骨折程度，选择合适的治疗方案。结果15例胫骨平台骨折中，16层螺旋CT三维重建全部确诊，X线片漏诊1例。10例行手术治疗，手术入路根据CT三维重建图像来确定，手术证实了螺旋CT三维重建显示的骨折情况。结论螺旋CT三维重建图像有助于胫骨平台骨折的立体定位和正确分型，对治疗方法的选择具有指导意义。
Objective To evaluate the value of application of spiral CT with 3D reconstructure on diagnosisand treatment of tibial plateau fractures. Methods 15 cases of tibial fractures treated with x-ray and 16-slices spiral CT,3 D images were made, fractures were classified and evaluated with 3 D images and treated with correct treatment. Results All of the 15 patients got correct diagnosis by 16-slices spiral CT with 3D reconstructure, 1 failed by x-ray. 10 fractures were operated under 3D reconstructure guide and operation proved fractures revealed by 3D reconstructure finally. Conclusion Spiral CT with 3D reconstructure could offer more accurate location and classification of tibial plateau fractures, and it had obvious advantage on demonstration of spatial relationship, and it also could provide better planning and management for the tibial plateau fractures.
出处
《中国基层医药》
CAS
2011年第21期2916-2917,I0002,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
螺旋CT
三维重建
胫骨平台
骨折
Spiral CT
3 D reconstructure
Tibial plateau
Fracture
