| 潘维亮,华德军,孙圣.128层螺旋CT重建技术在足部骨关节损伤诊疗中的临床价值[J].济宁医学院学报,2012,(1):36-38 |
| 128层螺旋CT重建技术在足部骨关节损伤诊疗中的临床价值 |
| Diagnosis and treatment evaluation in diseases of bones and articulations of foot by 128-slice spiral CT and three-dimensional reconstruction |
| 投稿时间：2012-01-11 |
| DOI：10.3969/j.issn.1000-9760.2012.01.011 |
| 中文关键词: 足部骨折、错位|诊断与治疗|X线片|128层螺旋CT|三维重建 |
| 英文关键词: Foot fracture dislocation;Diagnosis and treatment;X-ray;128-slice spiral CT;Three-dimensional reconstruction |
| 基金项目: |
| 作者 | 单位 | | 潘维亮 | 滕州市中心人民医院, 山东滕州 277500 | | 华德军 | 滕州市中心人民医院, 山东滕州 277500 | | 孙圣 | 滕州市中心人民医院, 山东滕州 277500 |
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| 中文摘要: |
| 目的 探讨128层螺旋CT三维重建成像在足部骨折、错位诊疗中的指导价值。方法 51例足部骨折、错位患者,分别行X线片和128层螺旋CT三维重建影像检查,对照术中所见,分析比较两者在诊断和手术治疗中的指导作用。结果 X线片检查10例无法明确诊断,后经手术证实诊断错误1例,128层螺旋CT临床诊断均正确,诊断正确率分别为78.43% 和100%。128层螺旋CT与X线片在明确诊断(χ2=35.35,P<0.01)和手术指导方面(χ2=19.49,P<0.01)有显著性差异,128层螺旋CT明显优于X线片。结论 128层螺旋CT能立体、动态地显示足部骨折、错位的形态及程度,有助于明确诊断及手术中指导。 |
| 英文摘要: |
| Objective To evaluate the diagnosis and treatment evaluation in diseases of bones and joints of foot by 128-slice spiral CT and three-dimensional reconstruction.Methods Fifty-one cases with diseases of bones and joints of foot were undergone X-ray and three-dimensional reconstruction of 128-slice spiral CT.The results were compared with the findings in the operations.Then the function were explored for the diagnosis and therapies.Results There was apparent difference in confirming diagnosis(χ2=35.35, P<0.01) and operative guidance(χ2=19.49, P<0.01) between X-ray and spiral 3-dimensional CT reconstruction.The spiral 3-dimensional CT reconstruction was significantly superior.Conclusion The image of spiral three-dimensional CT reconstruction could show the foot fracture and dislocation directly and stereoscopically, which is of great advantage to clinical diagnosis and treatment. |
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