摘要
目的评估多层螺旋CT对肋骨骨折的诊断价值。方法对2016年7月—2018年1月肋骨骨折患者进行多层螺旋CT扫描,并将原始数据进行多平面重建、MIP、及VR等三维重建处理,评估多层螺旋CT对肋骨骨折的诊断价值。结果 49例患者中43例直接确诊肋骨骨折,但有6例多发肋骨骨折对骨折的确切数目存在漏诊,经短期复查断端出现移位或骨痂形成期断面出现硬化重新确定了骨折数目。结论多层螺旋CT对大多数肋骨骨折及骨折数目可以做出明确诊断,但对于一些移位不明显的隐匿性骨折容易出现漏诊,应结合骨痂形成期的复查CT表现,以免出现漏诊。
Objective To evaluate the diagnosis value of MSCT for rib fracture. Methods Conducted MSCT scanning for rib fracture patients from July 2016 to January 2018, and conducted three dimensional reconstruction including multiplanar reconstruction, MIP and VR for the raw data, and evaluate the diagnosis value of MSCT for rib fracture. Results 43 out of the 49 patients are directly diagnosed as rib fracture, but in 6 multiple fractured ribs cases, there was missed diagnosis for the exact number of fracture and we reconfirmed the fracture amount by short term reexamination of displacement of the fractured ends and sclerosis of the fractured end during the callus formation period. Conclusion MSCT can make definite diagnosis for most rib fractures and fracture amount, but for some occult fractureswithout obvious displacement, there can be missed diagnosis. It should be combined with reexamination CT during the callus formation period to avoid missed diagnosis.
作者
张彬
ZHANG Bin(Radiology Department, No.2 Traditional Chinese Medical Hospital of Huangdao District, Qingdao City, Qingdao Shandong 266400, Chin)
出处
《中国继续医学教育》
2018年第17期57-59,共3页
China Continuing Medical Education
