中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
22期
82-83,84
,共3页
螺旋CT%三维重建%脊柱转移瘤
螺鏇CT%三維重建%脊柱轉移瘤
라선CT%삼유중건%척주전이류
Spiral CT%3D reconstruction%Spinal metastases
目的：探讨多层螺旋CT扫描及三维重建在脊柱转移瘤诊断中的应用价值。方法：回顾性分析65例确诊脊柱转移瘤患者行脊柱正侧位X线平片检查、多层螺旋CT扫描及三维重建的诊断结果，比较两种方法的诊断敏感性。结果：65例患者中，多层螺旋CT及三维重建确诊脊柱转移瘤43例（66.2%），X线平片确诊24例（36.9%），两者比较差异有统计学意义（P<0.001）；多层螺旋CT扫描及三维重建诊断发现受累骨节数86个、椎体骨质破坏44例、骨性椎管受累25例，椎旁软组织和腰大肌受侵44例。结论：螺旋CT扫描机三维重建有助于脊柱转移瘤的临床诊断，临床应用价值较高。
目的：探討多層螺鏇CT掃描及三維重建在脊柱轉移瘤診斷中的應用價值。方法：迴顧性分析65例確診脊柱轉移瘤患者行脊柱正側位X線平片檢查、多層螺鏇CT掃描及三維重建的診斷結果，比較兩種方法的診斷敏感性。結果：65例患者中，多層螺鏇CT及三維重建確診脊柱轉移瘤43例（66.2%），X線平片確診24例（36.9%），兩者比較差異有統計學意義（P<0.001）；多層螺鏇CT掃描及三維重建診斷髮現受纍骨節數86箇、椎體骨質破壞44例、骨性椎管受纍25例，椎徬軟組織和腰大肌受侵44例。結論：螺鏇CT掃描機三維重建有助于脊柱轉移瘤的臨床診斷，臨床應用價值較高。
목적：탐토다층라선CT소묘급삼유중건재척주전이류진단중적응용개치。방법：회고성분석65례학진척주전이류환자행척주정측위X선평편검사、다층라선CT소묘급삼유중건적진단결과，비교량충방법적진단민감성。결과：65례환자중，다층라선CT급삼유중건학진척주전이류43례（66.2%），X선평편학진24례（36.9%），량자비교차이유통계학의의（P<0.001）；다층라선CT소묘급삼유중건진단발현수루골절수86개、추체골질파배44례、골성추관수루25례，추방연조직화요대기수침44례。결론：라선CT소묘궤삼유중건유조우척주전이류적림상진단，림상응용개치교고。
Objective:To investigate multi-slice spiral CT scan and three-dimensional reconstruction of transfer application value in the diagnosis of spinal tumor.Method:A retrospective analysis of diagnosis results of 65 cases of spinal metastases underwent spinal lateral X-ray examination,multi-slice spiral CT scan and three-dimensional reconstruction,the diagnostic sensitivity of two methods were compared. Result:In 65 patients,multi-slice spiral CT and 3D reconstruction were diagnosed in 43 cases of metastasis of spine(66.2%),24 cases of X-ray plain film diagnosis(36.9%),there was significant difference between the two(P<0.001);multi-slice spiral CT scan and 3D reconstruction in diagnosis of affected joints Number 86,vertebral bone destruction in 44 cases,bony canal were involved in 25 cases,paravertebral soft tissue and psoas muscle invasion in 44 cases. Conclusion:Helical CT three-dimensional reconstruction is helpful for diagnosis of spinal metastases,has higher value of clinical application.
