中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
116-118
,共3页
多层螺旋CT%跟骨粉碎性骨折%植入手术
多層螺鏇CT%跟骨粉碎性骨摺%植入手術
다층라선CT%근골분쇄성골절%식입수술
Multi-slice spiral CT%Comminuted calcaneal fractures%Implant surgery
目的：探讨多层螺旋CT在评估跟骨粉碎性骨折植入手术治疗中的应用价值。方法：选取2010年8月-2013年12月在本院就诊的行人造骨植入手术的154例（180足）跟骨粉碎性骨折患者作为研究对象，按照随机数字表法将其分为观察组和对照组，每组各77例（90足）。观察组术前行多层螺旋CT扫描检查，对照组术前行X线检查。回顾性分析两组患者的影像学资料，着重观察两组患者的诊断准确率、手术情况及术后足部功能。结果：观察组的诊断准确率100%明显高于对照组的91.11%，术中出血量明显少于对照组，手术时间、住院时间均明显短于对照组，术后并发症发生率明显低于对照组，术后足部功能优良率90.00%明显高于对照组的77.78%，比较差异均有统计学意义（P<0.05）。结论：多层螺旋CT重建技术在跟骨粉碎性骨折中的诊断准确性高，对植入手术治疗方案及预后有重要价值，值得临床推广使用。
目的：探討多層螺鏇CT在評估跟骨粉碎性骨摺植入手術治療中的應用價值。方法：選取2010年8月-2013年12月在本院就診的行人造骨植入手術的154例（180足）跟骨粉碎性骨摺患者作為研究對象，按照隨機數字錶法將其分為觀察組和對照組，每組各77例（90足）。觀察組術前行多層螺鏇CT掃描檢查，對照組術前行X線檢查。迴顧性分析兩組患者的影像學資料，著重觀察兩組患者的診斷準確率、手術情況及術後足部功能。結果：觀察組的診斷準確率100%明顯高于對照組的91.11%，術中齣血量明顯少于對照組，手術時間、住院時間均明顯短于對照組，術後併髮癥髮生率明顯低于對照組，術後足部功能優良率90.00%明顯高于對照組的77.78%，比較差異均有統計學意義（P<0.05）。結論：多層螺鏇CT重建技術在跟骨粉碎性骨摺中的診斷準確性高，對植入手術治療方案及預後有重要價值，值得臨床推廣使用。
목적：탐토다층라선CT재평고근골분쇄성골절식입수술치료중적응용개치。방법：선취2010년8월-2013년12월재본원취진적행인조골식입수술적154례（180족）근골분쇄성골절환자작위연구대상，안조수궤수자표법장기분위관찰조화대조조，매조각77례（90족）。관찰조술전행다층라선CT소묘검사，대조조술전행X선검사。회고성분석량조환자적영상학자료，착중관찰량조환자적진단준학솔、수술정황급술후족부공능。결과：관찰조적진단준학솔100%명현고우대조조적91.11%，술중출혈량명현소우대조조，수술시간、주원시간균명현단우대조조，술후병발증발생솔명현저우대조조，술후족부공능우량솔90.00%명현고우대조조적77.78%，비교차이균유통계학의의（P<0.05）。결론：다층라선CT중건기술재근골분쇄성골절중적진단준학성고，대식입수술치료방안급예후유중요개치，치득림상추엄사용。
Objective:To investigate the application value of multi-slice spiral CT in the evaluation of the treatment of comminuted calcaneal fracture with implant surgery.Method:154 patients with comminuted calcaneal fracture who underwent artificial bone implant surgery admitted to our hospital from August 2010 to December 2013 were selected as the research objects, contained 180 feet,they were divided into the observation group and the control group according to the random number table method,77 cases (90 feet) in each group.The observation group was given multi-slice spiral CT scan preoperatively,the controlgroup was given X-ray examination preoperatively.The imaging data of patients of the two groups were retrospectively analyzed, focusing on the diagnosis of accuracy,surgery condition and postoperative foot function between the two groups were observed. Result:The diagnostic accuracy of the observation group was 100%,which was significantly higher than 91.11% of the control group,the intraoperative blood loss was significantly less than the control group,the operative time and length of hospital stay were significantly shorter than those of the control group,the postoperative complication rate was significantly lower than the control group,and the excellent and good rate of postoperative foot function in the observation group was 90.00%,which was significantly higher than 77.78% in the control group,the differences were statistically significant(P<0.05).Conclusion:Multi-slice spiral CT reconstruction technique in the comminuted calcaneal fracture has high diagnostic accuracy,it has important values for the treatment and prognosis of implantation,which is worthy of clinical application.
