多排螺旋CT三维重建技术结合MRI在胫骨平台骨折诊疗中的应用价值

The Value of Combining 3D-CT Reconstruction and MRI in Diagnosis and Treatment of Tibial Plateau Fractures

目的:探讨多排螺旋CT三维重建技术结合MRI在胫骨平台骨折诊断和治疗中的价值。方法:收集57例胫骨平台骨折患者的X线平片、螺旋CT三维重建、MRI影像检查资料,对照术中所见,分析、比较MRI结合多排螺旋CT三维重建技术在临床诊断和治疗中的价值。结果:在诊断正确率及分型符合率上,多排螺旋CT三维重建技术结合MRI均优于X线平片;并且MRI能明确显示韧带、关节软骨受损伤情况。结论:多排螺旋CT三维重建技术能直观、立体地显示胫骨平台骨折的形态,MRI能明确显示韧带、关节软骨受损伤情况。两者结合,有助于骨折的分型及手术方式的确定。

Objective：To evaluate the Value of Combining of 3D-CT reconstruction image and MRI in diagnosis and treatment of tibial plateau fractures.Methods：The data of standard X-rays,3D-CT reconstruction image and MRI in 57 cases of tibial plateau fractures were analyzed and compared with those seen during operations to evaluate the value of combining of 3D-CT reconstruction and MRI image in diagnosis and treatment of tibial plateau fractures.Results：Combining 3D-CT reconstruction image and MRI are better than X-ray not only in diagnosis but in classification. And injured ligament or cartilage can be found in MRI. Conclusion： 3D-CT reconstruction image can directly and dimensionally display the morphology of the tibial plateau fractures. MRI can display details of injured ligament and cartilage. Combining two above is helpful to the classification and preoperative preparation of the fractures.