CT血管成像在髋臼骨折中的应用

CLINICAL APPLICATION OF COMPUTED TOMOGRAPHIC ANGIOGRAPHY IN ACETABULAR FRACTURES

目的探讨CT血管成像(CTA)对髋臼骨折的临床应用价值。方法 2011年5月—2012年5月对25例髋臼骨折患者行CTA检查,以显示血管与骨的解剖结构。结果 CTA准确地显示了血管与骨折块位置关系,以及有无血管损伤、卡压。术中能否涉及这些危险因素。结论 CTA作为髋臼骨折特殊检查方法,其操作简单易行,对手术提供了详实的解剖学基础,有效避免术中大出血的发生。

Objective To investigate the clinical value of computed tomographic angiography in acetabular fractures. Methods Total 25 patients with surgical treatment of acetabular fractures underwent computed tomographic angiography preoperatively and the images allowed excellent display of relationship between vascular and osseous anatomy during May 2011 to May 2012. Results CTA accurately demonstrated the excellent display of relationship between vascular and fracture site, showed whether or not there was vascu- lar injury that could be useful in the surgical planning. Conclusion CTA is a reliable technique with high accuracy and easy operation for the diagnosis of acetabular fracture, and it can provide rich anatomical data for reducing the loss of blood during surgery.