中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
4期
64-65
,共2页
体层摄影术%三维成像%眶壁骨折
體層攝影術%三維成像%眶壁骨摺
체층섭영술%삼유성상%광벽골절
Tomography%Three-dimensional imaging%Orbital fracture
目的：探讨和评价螺旋CT三维成像技术在眼眶爆裂性骨折修复术中的必要性、有效性以及对手术的临床指导作用。方法：以2D-CT、多平面重建（MPR）及3D-CT成像技术诊断眶壁骨折，以MEDPOR人工骨片及羟基磷灰石（HA）人工骨片为填充材料，对86例眼眶爆裂性骨折患者施行眶壁骨折整复术。结果：2D-CT良好的显示出眶内软组织嵌顿及疝出的状态，多平面重建（MPR）及3D-CT清晰的显示出眶壁骨折空间立体结构，窦腔立体重建图像具有帮助术前诊断和了解副鼻窦损伤情况的作用。结论：螺旋CT三维成像有助于医生在术前全面整体基本量化了解眶壁骨折的位置和范围，构成手术中的立体视觉参考模型，以便精确的进行手术设计和指导手术过程。
目的：探討和評價螺鏇CT三維成像技術在眼眶爆裂性骨摺脩複術中的必要性、有效性以及對手術的臨床指導作用。方法：以2D-CT、多平麵重建（MPR）及3D-CT成像技術診斷眶壁骨摺，以MEDPOR人工骨片及羥基燐灰石（HA）人工骨片為填充材料，對86例眼眶爆裂性骨摺患者施行眶壁骨摺整複術。結果：2D-CT良好的顯示齣眶內軟組織嵌頓及疝齣的狀態，多平麵重建（MPR）及3D-CT清晰的顯示齣眶壁骨摺空間立體結構，竇腔立體重建圖像具有幫助術前診斷和瞭解副鼻竇損傷情況的作用。結論：螺鏇CT三維成像有助于醫生在術前全麵整體基本量化瞭解眶壁骨摺的位置和範圍，構成手術中的立體視覺參攷模型，以便精確的進行手術設計和指導手術過程。
목적：탐토화평개라선CT삼유성상기술재안광폭렬성골절수복술중적필요성、유효성이급대수술적림상지도작용。방법：이2D-CT、다평면중건（MPR）급3D-CT성상기술진단광벽골절，이MEDPOR인공골편급간기린회석（HA）인공골편위전충재료，대86례안광폭렬성골절환자시행광벽골절정복술。결과：2D-CT량호적현시출광내연조직감돈급산출적상태，다평면중건（MPR）급3D-CT청석적현시출광벽골절공간입체결구，두강입체중건도상구유방조술전진단화료해부비두손상정황적작용。결론：라선CT삼유성상유조우의생재술전전면정체기본양화료해광벽골절적위치화범위，구성수술중적입체시각삼고모형，이편정학적진행수술설계화지도수술과정。
Objective:To discuss and evaluate necessity, effectiveness and clinical directive function of spiral computed tomograph three-dimensional imaging in the surgery procedures of orbital fracture repair. Methods Obtital fractures were diagnosed by the technique of two-dimensional computed tomography, multiplanar reconstruction and three-dimensional computed tomography. Medpor or HA artificial bone were chosen as the filling material. Orbital fracture repair were executed in the 86 patients. Results The incarcerated and herniated orbital soft tissues were displayed clearly in the two-dimensional computed tomography image, multiplanar reconstruction and three-dimensional computed tomography images could show accurately the three-dimensional space structure of orbital fractures. The stereoscopic reconstructed images of sinus cavity could help preoperative diagnosis and acquaintance of injury of paranasal sinuses. slightly in twenty-four patients and aggravated in two patients after operations. Conclusions Spiral computed tomograph three-dimensional imaging could help doctors knowledge position and scope of orbital wholely and quantitively before operation, form stereo visual reference model in the surgery procedures of orbital fracture repair. Therefore, operations could be devised and directed accurately.
