摘要
目的：探讨多层螺旋CT三维及多平面重组在脊柱外伤的诊断价值。方法：本文选择了2005年5月~2011年8月120例来我院治疗脊柱骨折患者。其中男性88例,女性32例,年龄18~72岁。将该患者分别用CT普通扫描方式诊断以及多层螺旋CT扫描（MSCT）方式诊断,将原有图像进行骨算法薄层重建,之后将重建图像导入CT3D工作站,进行多平面重建（MPR）、表面遮盖法成像（SSD）以及最大密度投影（MIP）,观察各显示情况。结果：多层螺旋CT三维重建能够清晰的显示出脊柱骨折的脱位、骨折、以及脊椎管情况以及固定物的立体形态和其与周围组织之间的关系。结论：多层螺旋CT三维重建成像能够清晰、全面、多方位、立体、直观地显示出脊柱骨折的全貌,是医生选择治疗方案、为患者制定手术方式的可靠依据,值得临床应用与推广。
Objective：To discuss the application of multislice spiral computed tomography（MSCT） with three dimensional（3D） reconstruction techniques in the evaluation of spine fractures.Methods：120 patients with clinically suspected spine fracture were underwent with routine diagnosis,and MSCT scans and additional 3D reconstruction by using soft-tissue cutting algorithm and bone algorithm.The source images were transferred into 3D workstation and reconstructed by MPR,SSD and MIP.Results：MSCT with 3D reconstruction,clearly and directly showed the dislocation degree,fracture and situation of spinal canal after inner fixation.Conclusion：MSCT with 3D reconstruction can clearly,completely,stereoscopically and directly show the details of spine fractures,it is the reliable evidence for selecting the treatment protocol and for determining the operation pathway.
出处
《中国医药导刊》
2012年第7期1150-1151,共2页
Chinese Journal of Medicinal Guide
关键词
多层螺旋CT
三维重建
脊柱骨折
Multislice spiral computed tomography
Three dimensional reconstruction
Spine fracture
