中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
19期
107-107,109
,共2页
多层螺旋CT%胸骨骨折%诊断价值
多層螺鏇CT%胸骨骨摺%診斷價值
다층라선CT%흉골골절%진단개치
Multi-slice spiral CT%Sternum fracture%Diagnostic value
目的：探讨在胸骨骨折的诊断中应用多层螺旋CT探查的临床价值。方法：2011-2013年收治胸骨骨折患者28例，作为本次研究对象，同时与其多层螺旋CT诊断资料相结合，进行综合性回顾与分析。结果：本组28例病例均经多层螺旋 CT 检查或多平面重建(MPR)后确诊，诊断符合率100%。包括18例(64.29%)诊断为胸骨柄骨折，10例(35.71%)诊断为胸骨体骨折。其中5例(17.86%)合并胸骨后纵隔气肿，12例(42.86%)经CT扫描、MPR重建后提示合并胸骨后纵隔血肿。结论：为胸部骨折患者提供多层螺旋CT诊断，能够起到理想、可靠的诊断效果，是今后临床尽早诊断本病并制定有针对性治疗方案的关键，建议临床加强普及。
目的：探討在胸骨骨摺的診斷中應用多層螺鏇CT探查的臨床價值。方法：2011-2013年收治胸骨骨摺患者28例，作為本次研究對象，同時與其多層螺鏇CT診斷資料相結閤，進行綜閤性迴顧與分析。結果：本組28例病例均經多層螺鏇 CT 檢查或多平麵重建(MPR)後確診，診斷符閤率100%。包括18例(64.29%)診斷為胸骨柄骨摺，10例(35.71%)診斷為胸骨體骨摺。其中5例(17.86%)閤併胸骨後縱隔氣腫，12例(42.86%)經CT掃描、MPR重建後提示閤併胸骨後縱隔血腫。結論：為胸部骨摺患者提供多層螺鏇CT診斷，能夠起到理想、可靠的診斷效果，是今後臨床儘早診斷本病併製定有針對性治療方案的關鍵，建議臨床加彊普及。
목적：탐토재흉골골절적진단중응용다층라선CT탐사적림상개치。방법：2011-2013년수치흉골골절환자28례，작위본차연구대상，동시여기다층라선CT진단자료상결합，진행종합성회고여분석。결과：본조28례병례균경다층라선 CT 검사혹다평면중건(MPR)후학진，진단부합솔100%。포괄18례(64.29%)진단위흉골병골절，10례(35.71%)진단위흉골체골절。기중5례(17.86%)합병흉골후종격기종，12례(42.86%)경CT소묘、MPR중건후제시합병흉골후종격혈종。결론：위흉부골절환자제공다층라선CT진단，능구기도이상、가고적진단효과，시금후림상진조진단본병병제정유침대성치료방안적관건，건의림상가강보급。
Objective:To explore the clinical value of multi-slice spiral CT expedition in the diagnosis of sternum fracture. Methods:28 cases with sternum fracture were selected from 2011 to 2013.They were as the research objects.At the same time,the multi-slice spiral CT diagnosis data were comprehensively reviewed and analyzed.Results:28 cases in this group were confirmed by multi-slice spiral CT and multiplanar reconstruction (MPR).The diagnose accordance rate was 100%.18 cases(64.29%) were diagnosed manubrium fracture.10 cases(35.71% ) were diagnosed mesosternum fracture.5 cases(17.86% ) were combined with substernal mediastinal emphesema.12 cases(42.86%) were combined with substernal mediastinal hematoma by CT scan and MPR reestablishment.Conclusion:The multi-slice spiral CT in the diagnosis of sternum fracture has ideal and reliable diagnosis effect.It is the key for clinical diagnosis of the disease as early as possible and formulating targeted treatment schedule in the future.It suggests strengthen the popularization in clinical.
