CAJ | 학술논문

目的：探讨螺旋CT三维重建在儿童肱骨远端骨骺损伤中的诊断价值。方法收集20例小儿肱骨远端骨骺损伤的X线片与螺旋CT三维重建图像进行对比分析。结果20例中肱骨外髁骨骺骨折11例，肱骨远端全骺分离2例，肱骨内上髁骨骺分离7例。 X线平片与CT三维重建诊断结果相符的8例，X线平片发现了骨折但CT三维重建检查发现更多骨折的4例，X线平片怀疑有骨折但通过CT 三维重建确定诊断的5例，通过CT三维重建检查更正X线平片诊断的3例。结论与X线平片相比，螺旋CT三维重建对儿童肱骨远端骨骺损伤的诊断更具优势，临床效果满意。
목적：탐토라선CT삼유중건재인동굉골원단골후손상중적진단개치。방법수집20례소인굉골원단골후손상적X선편여라선CT삼유중건도상진행대비분석。결과20례중굉골외과골후골절11례，굉골원단전후분리2례，굉골내상과골후분리7례。 X선평편여CT삼유중건진단결과상부적8례，X선평편발현료골절단CT삼유중건검사발현경다골절적4례，X선평편부의유골절단통과CT 삼유중건학정진단적5례，통과CT삼유중건검사경정X선평편진단적3례。결론여X선평편상비，라선CT삼유중건대인동굉골원단골후손상적진단경구우세，림상효과만의。
Objective To explore the application of 3D reconstruction of spiral CT in distal humeral epiphyseal injury in children. Methods X-ray and spiral CT 3D reconstruction images of 20 children with distal humerus epiphyseal injury were compared.Results Among the 20 patients,11 had humeral lateral condyle epiphyseal fractures, 2 had distal humeral whole epiphyseal separation and 7 had humeral medial epicondyle epiphyseal separation. X-ray diagnosis was consistent with the results of 3D reconstruction of spiral CT in 8 children. X-ray imaging showed fractures but spiral CT 3D reconstruction showed more fractures in 4 children. X-ray imaging showed suspected fractures but spiral CT 3D reconstruction showed confirmed fractures in 5 children. X-ray diagnosis was corrected by spiral CT 3D reconstruction in 3 children. Conclusion The 3D reconstruction of spiral CT is superior to X-ray imaging for diagnosing distal humeral epiphyseal injury and achieves satisfactory clinical results in children.