螺旋CT三维重建影像在胫骨平台骨折诊疗中的价值

目的探讨螺旋CT三维重建影像在胫骨平台骨折诊断和治疗中的临床使用价值。方法2001年8月～2005年4月收集38例胫骨平台骨折分别行X线片和螺旋CT三维重建影像检查,对照术中所见,分析比较螺旋CT三维重建影像在临床诊断和治疗中的作用。结果X线片检查2例无法明确诊断,骨折分型错误6例;螺旋CT三维重建诊断、分型均正确。X线片与螺旋CT三维重建影像在确立诊断方面未见明显差异,但在分型和指导治疗方面,螺旋CT三维重建影像明显优于前者。结论螺旋CT三维重建影像能直观、立体地显示胫骨平台骨折的形态,有助于骨折的分型及治疗。

The value of spiral 3D-CT reconstruction in diagnosis and treatment of tibial plateau fractures

Objective To evaluate the spiral 3D-CT reconstruction in diagnosis and treatment of tibial plateau fractures. Methods From August 2001 to April 2005, 38 cases of tibial plateau fractures were examined by means of standard X-rays, CT scan and the spiral 3D-CT reconstruction preoperatively. Compared with the discoveries in the operations, the results of the 3 exam means were evaluated to assess their vales in diagnosis and treatment of tibial plateau fractures. Results There was no apparent difference in confirming diagnosis between X-ray and spiral 3D-CT reconstruction, but in respect of fracture classification and operative guidance, spiral 3D-CT reconstruction was significantly superior. Conclusion The image of spiral 3D-CT reconstruction can make the fractured tibial plateau visualized from different views, which is of great advantage to fracture classification and preoperative preparations.