CT圖像后處理技術(shù)結(jié)合磁共振成像在老年踝關(guān)節(jié)骨折分型診斷和預(yù)后評(píng)估中的應(yīng)用
發(fā)布時(shí)間:2018-04-03 01:07
本文選題:CT 切入點(diǎn):MRI 出處:《中國(guó)老年學(xué)雜志》2017年01期
【摘要】:目的分析CT圖像后處理技術(shù)結(jié)合MRI檢查在老年踝關(guān)節(jié)骨折分型診斷和預(yù)后評(píng)估中的應(yīng)用。方法回顧性分析68例的老年踝關(guān)節(jié)骨折患者臨床資料,分別對(duì)患者進(jìn)行CT及MRI檢查,分析患者骨折位置與區(qū)域、骨折分型和分度情況,關(guān)節(jié)韌帶經(jīng)CT圖像后處理的顯示結(jié)果,利用CT圖像后處理與MRI技術(shù)評(píng)估患者術(shù)后并發(fā)癥及預(yù)后。結(jié)果患者的骨折位置中,發(fā)生在左踝與右踝的比例無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。而在骨折區(qū)域上,發(fā)生在內(nèi)踝與外踝的比例明顯高于發(fā)生于后踝的比例(P0.05);患者的骨折分型之間并無(wú)明顯差異(P0.05),但骨折分度為Ⅰ度、Ⅱ度及Ⅲ度的比例均明顯高于Ⅳ度者(P0.05);CT圖像后處理技術(shù)對(duì)于不同分型骨折患者關(guān)節(jié)韌帶的顯示率無(wú)統(tǒng)計(jì)學(xué)差異(P0.05);50例需手術(shù)治療的患者中,經(jīng)CT圖像后處理與MRI技術(shù)評(píng)估發(fā)現(xiàn),并發(fā)癥預(yù)后為優(yōu)的比例為50.00%(25/50),良為36.00%(18/50),差為14.00%(7/50)。預(yù)估患者術(shù)后發(fā)生創(chuàng)傷性關(guān)節(jié)炎的比例為8.00%(4/50),與隨訪6個(gè)月后的實(shí)際發(fā)生率4.00%(2/50)相比無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論 CT圖像后處理結(jié)合MRI技術(shù)對(duì)老年踝關(guān)節(jié)骨折患者進(jìn)行分型診斷和預(yù)后評(píng)估效果較好,準(zhǔn)確率較高。
[Abstract]:Objective to analyze the application of CT image post-processing combined with MRI in the diagnosis and prognosis evaluation of senile ankle fracture.Methods the clinical data of 68 elderly patients with ankle fracture were analyzed retrospectively. Ct and MRI examinations were performed respectively. The location and area of fracture, the classification and grading of fracture, and the display of joint ligament after CT image processing were analyzed.Postoperative complications and prognosis were evaluated by CT image post-processing and MRI technique.Results there was no significant difference in the ratio of left malleolus and right malleolus in the fracture position of the patients (P 0.05).In the fracture area, the ratio of medial malleolus to lateral malleolus was significantly higher than that of posterior malleolus.The ratio of degree 鈪,
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