CAJ | 학술논문

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.
목적 탐토라선CT삼유중건(3D)대경골평태골절적진단화치료개치.방법 대15례경골평태골절적환자행X선편급16층라선CT소묘,병삼유중건성상,대골절진행분형,평고골절정도,선택합괄적치료방안.결과15례경골평태골절중,16층라선CT삼유중건전부학진,X선편루진1례.10례행수술치료,수술입로근거CT삼유중건도상래학정,수술증실료라선CT삼유중건현시적골절정황.결론 라선CT삼유중건도상유조우경골평태골절적입체정위화정학분형,대치료방법적선택구유지도의의.
Objective To evaluate the value of application of spiral CT with 3D reconstructure on diagnosis and 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 3D 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.