摘要
目的 分析多层螺旋CT(MSCT)三维重建对股骨转子间骨折分型诊断及手术方案指导价值。方法收集本院2017年5月至2019年5月收治的77例股骨转子间骨折患者的临床资料,所有患者均进行MSCT检查,对患者所得MSCT图像进行分析,以手术分型为对照,计算MSCT三维重建对骨折患者Evans-Jensen分型分型准确性,并分析术前预后评估与术后实际预后差异。结果 MSCT三维重建对骨折Evans-Jensen分型患者分型与其术中所见情况基本一致,符合率为98.70%(P>0.05);术后77例患者术后感染7例,基本痊愈30例,部分改善24例,无效3例,并发症13例,MSCT预测与术后实际情况符合率高(P>0.05)。结论 MSCT三维重建可清晰显示患者骨折部位以及空间解剖关系,可为股骨转子间骨折患者术前分型提供参考,对患者手术方案选择有较高的指导价值。
Objective To analyze the value of multi-slice spiral CT(MSCT) three-dimensional reconstruction in the diagnosis of classification of intertrochanteric fractures and in the guidance of surgical scheme.Methods The clinical data of 77 patients with intertrochanteric fractures admitted in our hospital from May 2017 to May 2019 were collected. All patients were examined by MSCT, and the MSCT images of the patients were analyzed. The surgical classification was used as control. The accuracy of the MSCT three-dimensional reconstruction in the diagnosis of Evans-Jensen classification of patients with fracture was calculated. The difference between preoperative prognosis evaluation and actual postoperative prognosis was analyzed. Results The Evans-Jensen classification of patients with fracture classified by MSCT three-dimensional reconstruction is basically consistent with intraoperative findings. The accuracy was 98.70%(P>0.05). After operation in the 77 patients, 7 cases were infected,30 cases were basically cured, 24 cases were partially improved, 3 cases were ineffective, and 13 cases had were complications. The coincidence rate of MSCT prediction with actual postoperative condition was high(P>0.05). Conclusion MSCT three-dimensional reconstruction can clearly show the fracture position and spatial anatomical relationship of patients, and can provide a reference for the preoperative classification of patients with intertrochanteric fractures. And it has a high guiding value in the selection of patients’ surgical schemes.
作者
谢锋
张明勇
XIE Feng;ZHANG Ming-yong(Department of Osteoarthritis,tianyou Hospital,Wuhan University of Science and technology,Wuhan 430064,Hubei Province,China)
出处
《中国CT和MRI杂志》
2022年第5期172-174,共3页
Chinese Journal of CT and MRI
基金
湖北省卫生计生委面上项目(WJ2017M166)。
关键词
多层螺旋CT
三维重建
股骨转子间骨折
诊断
手术方案指导
Multi-Slice Spiral CT
Three-Dimensional Reconstruction
Intertrochanteric Fracture
Diagnosis
urgical Plan Guidance
