摘要
目的探讨螺旋CT扫描及其多平面重建技术(MPR)在腕舟骨骨折诊断中的应用价值。方法回顾性分析59例腕舟骨骨折患者螺旋CT及X线片影像资料,比较两种方式诊断腕舟骨骨折准确性,分析螺旋CT及MPR诊断腕舟骨骨折分型情况。结果螺旋CT及MPR诊断腕舟骨骨折的准确率为98.31%明显高于X线平片的71.19%,差异有统计学意义(P<0.05);螺旋CT及MPR诊断腕舟骨关节的分型显示,5.17%A1型,13.79%A2型,5.17%B1型,43.11%B2性,20.69%B3型,12.07%B4型。结论螺旋CT及MPR可提高腕舟骨骨折的诊断准确性,明确骨折分型,可为确定治疗方案可供客观资料。
Objective To explore the application value of spiral CT scanning and multiplanar reconstruction(MPR)in the diagnosis of carpal scaphoid fracture.Methods The CT and X-ray imaging data of 59 patients with carpal scaphoid fracture were analyzed retrospectively.The accuracy in the diagnosis of carpal scaphoid fracture was compared between the two methods.The status of spiral CT and MPR in the diagnosis of carpal scaphoid fracture type was analyzed.Results The accuracy of spiral CT and MPR in the diagnosis of carpal scaphoid fracture(98.31%)was significantly higher than that of X-ray plain film(71.19%)(P<0.05).Spiral CT and MPR in the diagnosis of carpal scaphoid joint type showed that there were 5.17%A1 type,13.79%A2 type,5.17%B1 type,43.11%B2 type,20.69%B3 type and 12.07%B4 type.Conclusion Spiral CT and MPR can improve the accuracy in the diagnosis of carpal scaphoid fracture.They can determine the type of fracture and provide objective data for the determination of treatment regimen.
作者
黄成校
余化龙
HUANG Cheng-xiao;YU Hua-long(Affiliated Dongfeng Hospital,Hubei University of Medicine,Shiyan 442008,Hubei Province,China)
出处
《中国CT和MRI杂志》
2018年第2期104-106,共3页
Chinese Journal of CT and MRI
基金
湖北省教育厅课题(B2014045)
关键词
腕舟骨骨折
X线计算机
体层摄影技术
多平面重建
骨折分型
Caroal Scaphoid Fracture
X-ray Computed
Tomography
Multiplanar Reconstruction
Type of Fracture
