CAJ | 학술논문

目的：探讨多层螺旋C T三维重建技术结合M RI在胫骨平台骨折诊断和治疗中的价值。方法收集87例胫骨平台骨折患者的X线平片、螺旋CT三维重建、MRI影像检查资料，比较分析MRI结合多层螺旋CT三维重建技术在临床诊断和治疗中的价值。结果在诊断正确率及分型符合率上，多层螺旋C T三维重建技术结合M RI均优于X线平片，并且M RI能明确显示韧带、关节软骨受损伤情况。结论多层螺旋C T 三维重建技术能直观、立体地显示胫骨平台骨折的形态，M RI能明确显示韧带、关节软骨受损伤情况。两者结合，有助于骨折的分型及手术方式的确定。
목적：탐토다층라선C T삼유중건기술결합M RI재경골평태골절진단화치료중적개치。방법수집87례경골평태골절환자적X선평편、라선CT삼유중건、MRI영상검사자료，비교분석MRI결합다층라선CT삼유중건기술재림상진단화치료중적개치。결과재진단정학솔급분형부합솔상，다층라선C T삼유중건기술결합M RI균우우X선평편，병차M RI능명학현시인대、관절연골수손상정황。결론다층라선C T 삼유중건기술능직관、입체지현시경골평태골절적형태，M RI능명학현시인대、관절연골수손상정황。량자결합，유조우골절적분형급수술방식적학정。
Objective To evaluate the value of combining of 3D-CT reconstruction image and MRI in diagnosis and treat-ment of tibial plateau fractures .Methods The data of standard X-rays ,3D-CT reconstruction image and MRI in 87 cases of tibial plateau fractures were analyzed and compared with those seen during operations to evaluate the value of combining of 3D-CT reconstruction and MRI image in diagnosis and treatment of tibial plateau fractures .Results Combining 3D-CT reconstruction image and MRI is better than X-ray not only in diagnosis but in classification as well .And injured ligament or cartilage can be found in MRI .Conclusion 3D-CT reconstruction image can directly and dimensionally display the mor-phology of the tibial plateau fractures .MRI can display details of injured ligament and cartilage .Combining two above is helpful to the classification and preoperative preparation of the fractures .