本文選題：脛骨 + 骨折　； 參考：《中國組織工程研究》2015年04期

【摘要】：背景:脛骨平臺骨折會抑制膝關(guān)節(jié)正常功能,嚴(yán)重?fù)p傷患者下肢功能,而早期診斷措施對預(yù)后效果具有關(guān)鍵作用。以往研究雖已存在多層螺旋CT三維重建技術(shù)對脛骨平臺骨折診斷的相關(guān)報道,但將其診斷效果與X射線檢查方式對比較為鮮見。目的:分析64排螺旋CT三維重建在脛骨平臺骨折修復(fù)診治中的應(yīng)用效果,并與傳統(tǒng)X射線診治結(jié)果進(jìn)行對比。方法:選擇無錫市第九人民醫(yī)院2012年10月至2013年10月收治的30例脛骨平臺骨折患者,對患者進(jìn)行64排螺旋CT掃描三維重建以及X射線片檢查,對檢查結(jié)果進(jìn)行分析對比。CT掃描應(yīng)用GE64排螺旋CT機,掃描范圍為脛骨近端,三維重建間距為1 mm,完成掃描后上傳工作平臺完成圖像重建。結(jié)果與結(jié)論:通過64排螺旋CT三維重建檢查,脛骨平臺骨折的程度、有無塌陷、碎骨片存在及移位等均可清晰顯示,按照HOHI分型:8例Ⅰ型,7例Ⅱ型,4例Ⅲ型,5例Ⅳ型,3例Ⅴ型,3例Ⅵ型,確診率為100%;X射線診斷結(jié)果顯示有25例確診,有3例為疑似診斷,2例不能確診,確診率為83%,兩種方式確診率比較差異有顯著性意義(P0.05)�；颊呓�(jīng)手術(shù)治療后取得良好的修復(fù)效果,療效優(yōu)良率為93%。提示64排螺旋CT三維重建在脛骨平臺骨折修復(fù)診治中具有重要的應(yīng)用價值,能清晰的將脛骨平臺骨折的解剖形態(tài)特點展現(xiàn)出來,為提高修復(fù)效果提供重要依據(jù)。
[Abstract]:Background: fracture of tibial plateau can inhibit normal function of knee joint and lower limb function of patients with severe injury. Early diagnosis plays a key role in prognosis. Although there have been related reports on the diagnosis of tibial plateau fractures by using multi-slice spiral CT three-dimensional reconstruction technique in the past, it is rare to compare the diagnostic effect with the X-ray examination method in the diagnosis of tibial plateau fractures. Objective: to analyze the effect of 64-slice spiral CT 3D reconstruction in the repair of tibial plateau fracture and compare it with the traditional X-ray diagnosis and treatment. Methods: from October 2012 to October 2013, 30 patients with tibial plateau fractures were selected from Wuxi Ninth people's Hospital. The results were analyzed and compared. Ct scanning was performed with GE64 spiral CT machine. The scanning range was proximal tibia and the distance of 3D reconstruction was 1 mm. The image reconstruction was completed by uploading work platform after scanning. Results and conclusion: the degree of tibial plateau fracture, collapse, the presence and displacement of bone fragments and so on can be clearly demonstrated by three-dimensional reconstruction of 64-slice spiral CT. According to the HOHI classification of 8 cases of type 鈪，

本文編號：2093344