CAJ | 학술논문

目的：探讨64排CT图像重组技术在肋骨骨折诊断中的价值。方法对56例胸部外伤患者行64排螺旋CT容积扫描，对CT图像进行最大密度投影( MIP)、表面遮掩( SSD)、容积再现( VRT)、多平面重组( MPR)、曲面重建( CPR)等图像重组处理。56例胸部外伤患者均做X线平片检查。结果56例患者，明确骨折53例，总计521处骨折；CT检出504处，骨折检出率达96．7%；X线平片检出406出，检出率78．0%。结论64排螺旋CT图像重组技术能多角度、多方位、多平面观察肋骨骨折情况，有效地避免常规CT及X线平片的不足，降低了漏诊率，为患者治疗方案的选择，提供了可靠的诊断依据，对预后评估具有重要价值。
목적：탐토64배CT도상중조기술재륵골골절진단중적개치。방법대56례흉부외상환자행64배라선CT용적소묘，대CT도상진행최대밀도투영( MIP)、표면차엄( SSD)、용적재현( VRT)、다평면중조( MPR)、곡면중건( CPR)등도상중조처리。56례흉부외상환자균주X선평편검사。결과56례환자，명학골절53례，총계521처골절；CT검출504처，골절검출솔체96．7%；X선평편검출406출，검출솔78．0%。결론64배라선CT도상중조기술능다각도、다방위、다평면관찰륵골골절정황，유효지피면상규CT급X선평편적불족，강저료루진솔，위환자치료방안적선택，제공료가고적진단의거，대예후평고구유중요개치。
Objective Explore the value of 64-slice CT image reconstruction techniques in the diagnosis of rib fracture. Methods 56 patients underwent chest trauma volume of 64-slice spiral CT scan,the CT images of maximum intensity projection (MIP),surface cover(SSD),volume rendering(VRT),multi-planar reconstruction(MPR),curved planar reconstruction(CPR) and other image restructuring treatment. 56 cases of chest trauma patients were doing X-ray examination. Results 56 patients,a clear fracture in 53 cases,a total of 521 fractures,CT detected 504,fracture detection rate of 96. 7%,X-ray detected 406,the detec-tion rate of 78%. Conclusion 64-slice spiral CT image reconstruction technology can multi-angle,multi-faceted,multi-planar rib fractures without effectively avoid the shortage of conventional CT and X-ray,reducing the rate of misdiagnosis,treatment options for select patients,provide a reliable diagnosis is based on the prognosis of great value.