CAJ | 학술논문

目的：探讨多排螺旋CT在诊断隐匿性肋骨骨折中的临床应用价值。方法：对29例临床怀疑肋骨骨折而常规X射线平片未显示骨折的胸部外伤患者行64排螺旋CT扫描后经薄层重建、多平面重建及容积再现成像。结果：29例隐匿性肋骨骨折在多平面重建、容积再现成像上均获得良好的肋骨图像，28例为单发，1例为多发肋骨骨折，其中完全性肋骨骨折4例，不完全性肋骨骨折25例。结论：64排螺旋CT对隐匿性肋骨骨折的检出率和诊断符合率明显优于X射线平片，多种后处理技术的应用能够及时、准确及直观的显示肋骨骨折的位置、形态和程度，可作为胸部外伤中隐匿性肋骨骨折的首选检查方法。
목적：탐토다배라선CT재진단은닉성륵골골절중적림상응용개치。방법：대29례림상부의륵골골절이상규X사선평편미현시골절적흉부외상환자행64배라선CT소묘후경박층중건、다평면중건급용적재현성상。결과：29례은닉성륵골골절재다평면중건、용적재현성상상균획득량호적륵골도상，28례위단발，1례위다발륵골골절，기중완전성륵골골절4례，불완전성륵골골절25례。결론：64배라선CT대은닉성륵골골절적검출솔화진단부합솔명현우우X사선평편，다충후처리기술적응용능구급시、준학급직관적현시륵골골절적위치、형태화정도，가작위흉부외상중은닉성륵골골절적수선검사방법。
Objective: To explore the clinical application value of multi-slice spiral CT in the diagnosis. Methods: Twenty nine patients with clinically suspected rib fractures and X-ray showed no 64 row helical CT scanning in patients with chest trauma fractures after reconstruction, multiplanar reconstruction and VR imaging. Results: Twenty nine patients with occult fracture of rib on the MPR, VR imaging were rib image good, 28 cases were single, multiple rib fractures in 1 cases, the total of 4 cases with rib fracture, incomplete fracture in 25 cases. Conclusion:The 64 row helical CT for occult rib fracture detection rates, diagnostic accordance rate was superior to X-ray plain film, various post-processing techniques applied to timely, accurate, intuitive display rib fracture location, shape, extent of chest trauma, occult rib fracture first choice inspection method.