CAJ | 학술논문

目的：分析螺旋CT三维重建成像技术在诊断跟骨外伤中临床价值。方法收集2012年11月至2014年11月间到我院接受诊治的跟骨外伤患者，挑选其中患者均有进行X线平片检查及螺旋CT三维重建检查的影像资料，比较X线平片检查及螺旋CT三维重建，采用SPSS 19．0统计软件应用卡方检验分析X线平片检查及螺旋CT三维重建对跟骨骨折诊断、分类的差异。结果 X线平片检查与CT三维重建对于诊断是否有跟骨骨折无统计学意义（P＝0．371＞0．05），对于骨折类型分类（粉碎性、关节内）有高度统计学意义（ P＜0．01）。结论 X线平片检查及螺旋CT三维重建都是跟骨骨折检查的基本方式，但螺旋CT三维重建则能更直观、全面、清晰地观察骨折的具体形态，为骨科诊治带来方便。
목적：분석라선CT삼유중건성상기술재진단근골외상중림상개치。방법수집2012년11월지2014년11월간도아원접수진치적근골외상환자，도선기중환자균유진행X선평편검사급라선CT삼유중건검사적영상자료，비교X선평편검사급라선CT삼유중건，채용SPSS 19．0통계연건응용잡방검험분석X선평편검사급라선CT삼유중건대근골골절진단、분류적차이。결과 X선평편검사여CT삼유중건대우진단시부유근골골절무통계학의의（P＝0．371＞0．05），대우골절류형분류（분쇄성、관절내）유고도통계학의의（ P＜0．01）。결론 X선평편검사급라선CT삼유중건도시근골골절검사적기본방식，단라선CT삼유중건칙능경직관、전면、청석지관찰골절적구체형태，위골과진치대래방편。
Objective Analysis of spiral CT three-dimensional reconstruction imaging in the diagnosis of trauma in the clinical value of calcaneus .Methods Collection the patients with calcaneal injury to our hospital for diagnosis and treatment in November 2 0 1 2 to November 2 0 1 4 ,selection of image data w hich patients had X-ray examination and three-dimensional reconstruction of spiral CT examination ,comparison of X -ray and spiral CT 3 D reconstruction ,by using the SPSS1 9 .0 statistical software using chi square test analysis of the dif-ference between X-ray and spiral CT 3 D reconstruction in diagnosis ,classification of calcaneal fracture .Results X-ray examination and CT 3 D reconstruction for diagnosis if there is no statistical significance of calcaneal fracture(P=0 .371 >0 .05 ) ,the fracture type classification (comminuted ,intra-articular) are highly statisti-cally significant( P<0 .0 1 ) .Conclusion X-ray and spiral CT 3 D reconstruction is the basic way to check the calcaneum bone fracture ,but the spiral CT three-dimensional reconstruction can specifically form more intu-itive ,comprehensive ,clear observation of fracture ,bring convenience for Department of orthopedics diagnosis and treatment .