中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
33期
73-74
,共2页
跟骨骨折%螺旋CT%三维重建%诊断价值
跟骨骨摺%螺鏇CT%三維重建%診斷價值
근골골절%라선CT%삼유중건%진단개치
Calcaneal fracture%Spiral CT%3D reconstruction%Diagnostic value
目的：探讨和研究跟骨骨折患者应用螺旋CT三维重建技术扫查对骨折重组方式及复杂骨折显示的临床效果，并分析其诊断价值。方法：52例患者进行足部螺旋CT扫描，分别用软组织算法B30s和骨算法B60s进行薄层重建，在3D工作站进行多方位MPR和VR重组。结果：本组52例患者共86处骨折，单侧骨折18例，双侧骨折34例，MPR结果显示粉碎性骨折54处，线性骨折32处，骨算法重建MPR图像骨窗能够清晰的观察到骨折情况并明确骨折片数目、骨折线的走向、关节面损伤以及关节腔内骨折情况；软组织算法重建MPR图像同样能够清晰观察软组织及肌腱损伤情况。结论：螺旋CT三维重建技术应用多平面重组和容积再现重组能够清晰地对跟骨骨折患者的骨折及软组织损伤情况，为临床诊断和治疗提供必要、可靠的依据，值得在临床上加以推广和应用。
目的：探討和研究跟骨骨摺患者應用螺鏇CT三維重建技術掃查對骨摺重組方式及複雜骨摺顯示的臨床效果，併分析其診斷價值。方法：52例患者進行足部螺鏇CT掃描，分彆用軟組織算法B30s和骨算法B60s進行薄層重建，在3D工作站進行多方位MPR和VR重組。結果：本組52例患者共86處骨摺，單側骨摺18例，雙側骨摺34例，MPR結果顯示粉碎性骨摺54處，線性骨摺32處，骨算法重建MPR圖像骨窗能夠清晰的觀察到骨摺情況併明確骨摺片數目、骨摺線的走嚮、關節麵損傷以及關節腔內骨摺情況；軟組織算法重建MPR圖像同樣能夠清晰觀察軟組織及肌腱損傷情況。結論：螺鏇CT三維重建技術應用多平麵重組和容積再現重組能夠清晰地對跟骨骨摺患者的骨摺及軟組織損傷情況，為臨床診斷和治療提供必要、可靠的依據，值得在臨床上加以推廣和應用。
목적：탐토화연구근골골절환자응용라선CT삼유중건기술소사대골절중조방식급복잡골절현시적림상효과，병분석기진단개치。방법：52례환자진행족부라선CT소묘，분별용연조직산법B30s화골산법B60s진행박층중건，재3D공작참진행다방위MPR화VR중조。결과：본조52례환자공86처골절，단측골절18례，쌍측골절34례，MPR결과현시분쇄성골절54처，선성골절32처，골산법중건MPR도상골창능구청석적관찰도골절정황병명학골절편수목、골절선적주향、관절면손상이급관절강내골절정황；연조직산법중건MPR도상동양능구청석관찰연조직급기건손상정황。결론：라선CT삼유중건기술응용다평면중조화용적재현중조능구청석지대근골골절환자적골절급연조직손상정황，위림상진단화치료제공필요、가고적의거，치득재림상상가이추엄화응용。
Objective:To explore and study of calcaneal fractures with spiral CT three-dimensional reconstruction techniques to scan the fracture mode and the clinical effect of recombinant display complex fractures,and to evaluate the diagnostic value of it.Method:Foot spiral CT scan was performed in 52 patients,the thin section reconstructions were performed by using soft tissue algorithm B30s and bone algorithm B60s respectively. All images were transferred into the workstation and reformatted by multilane reconstruction (MPR) and volume rendering (VR).Result:A total of 52 patients,86 fractures,fracture of unilateral in 18 cases,bilateral fractures in 34 cases,MPR showed comminuted fractures in 54 sides,32 sides of linear fracture,bone algorithm reconstruction of MPR images of bone window could clearly observe the fracture and fracture.The number,the fracture line joint surface injury and intra-articular fracture were cleared;soft tissue reconstruction algorithm of MPR image could clearly observe the soft tissue and tendon injuries.Conclusion:The application of spiral CT 3D reconstruction technique of multiplanar reconstruction and volume rendering reconstruction can clearly of calcaneal fractures in patients with fracture and soft tissue injury,to provide the necessary,a reliable basis for clinical diagnosis and treatment,it is worth to be promoted and applied in clinic.
