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多层螺旋CT三维重建技术在踝关节骨折诊断和术后评估中的应用价值 被引量:16

3D dimensional reconstruction of multislice spiral CT value in the diagnosis of ankle fractures and postoperative evaluation
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摘要 目的探讨多层螺旋CT三维重建技术在踝关节骨折诊断和术后评估中的应用价值。方法分别采用X线DR和多层螺旋CT三维重建技术对踝关节骨折患者进行术前检查并分型,术后进行复查观察复位质量和内固定置入质量。结果术前DR分型与术中所见结果比较,PAB、PER、SAB SER型Kappa值分别为0.76、0.80、0.77、0.75,一致性较好。术前CT三维重建与术中所见结果比较,PAB、PER、SAB SER型Kappa值分别为1、0.92、0.90、0.90,一致性优秀,CT三维重建分型与术中所见结果的一致性,灵敏度、特异度远优于DR。术后DR与CT三位重建对PAB、PER、SER型复位质量比较均有显著性差异(P<0.05),CT三维重建PER、SER型内固定置入质量比较均有显著性差异(P<0.05)。结论多层螺旋CT三维重建对踝关节骨折术前分型及术后复位治疗、内固定置入质量更准确、可靠,应用价值较高。 Objective To investigate the 3D reconstruction of multislice spiral CT technology applications in the diagnosis and postoperative ankle fracture assessment. Methods DR using X-ray and 3D reconstruction of multislice spiral CT technique in patients with ankle fractures preoperative examination and classification, for review after observing the quality of reduction and fixation into quality. Results Preoperative DR typing results compare with intraoperative findings, PAB, PER, SAB SER type Kappa values were 0.76, 0.80, 0.77, 0.75, had a good consistency. Preoperative CT reconstruction with intraoperative findings result of the comparison, PAB, PER, SAB SER type Kappa values were1, 0.92, 0.90, 0.90, excellent consistency, CT reconstruction typing and intraoperative findings consistent results. The sensitivity and specificity were far superior to DR. DR and CT reconstruction after treatment in PAB, PER, SER type reset mass were significantly different(P〈0.05), CT three reconstruction PER, fixed into the SER type mass was significantly different(P〈0.05). Conclusion Spiral CT reconstruction of ankle fracture before surgery and postoperative reduction treatment, quality assessment and internal fixation into a higher accuracy than the X-ray examination, and more reliable.
出处 《中国现代医生》 2014年第30期34-36,39,F0003,共5页 China Modern Doctor
基金 浙江省医药卫生科技计划(2009B153)
关键词 体层摄影术 三维重建 X线计算机 踝关节骨折 骨折分型 复位 内固定 Tomography 3D reconstruction X-ray computed Ankle fracture Fracture type Reset Fixation
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参考文献14

  • 1M Suzan H,Beerekamp Dirk Th, Ubbink Mario,et al. Frac- ture surgery of the extremities with the intra-operative use of 3D-RX: A randomized multicenter trial(EF3X-trial)[J]. BMC Musculoskeletal Disorders, 2011,12(5) : 151.
  • 2T Williams N, Barba T, Noailles V, et al. Total talar frac- ture-inter and intra-observer reproducibility of two classi- fication systems (Hawkins and AO) for central talar frac- tures[J]. OTSR,2012,98(4) :56-65.
  • 3A Fournier, N Barba, V Steiger, et al. Total talar fracture - long-term results of internal fixation of talar fractures. A multicentrie study of 114 eases[J]. OTSR,2012,98(4) :48-55.
  • 4Julia Crim, Michael Enslow ,Joshua Smith. CT assessment of the prevalence of retinacular injuries associated with hindfoot fractures[J]. Skeletal Radiology, 2013,42 (4) : 487 - 492.
  • 5张文煜.螺旋CT三维重建在踝关节骨折分型及治疗中的作用[J].中国基层医药,2013,20(1):61-62. 被引量:15
  • 6Paul G Talusan, David Essig ,Joshua L Perez. Fibular lengthening using distraction osteogenesis for the treat- ment of fibular malunion: A case report[J]. Foot&Ankle In- ternational,2013,34(7) : 1035-1039.
  • 7Kyung Tai Lee,Young Uk Park,Hyuk Jegal,et al. Prog- nostic classification of fifth metatarsal stress fracture using plantar gap[J]. Foot&Ankle International, 2013,34 (5) : 691- 696.
  • 8刘清华,余斌,张堃,庄岩,李忠,金丹.不同载荷对正常踝关节影响的有限元研究[J].中华创伤骨科杂志,2013,15(8):704-708. 被引量:11
  • 9Eric M Black,Valentin Antoci,Jared T Lee,et al. Role of preoperative computed tomography scans in operative planning for malleolar ankle fractures[J]. Foot & Ankle In- ternational, 2013,34 (5) : 697 -704.
  • 10王晨,马昕,王旭,黄加张,张超,陈立,张益钧.外踝骨折后三角韧带完整性对踝关节稳定性影响的CT三维重建研究[J].中华骨科杂志,2013,33(10):1058-1064. 被引量:30

二级参考文献45

  • 1李庭,蒋协远,王满宜,刘军,吴新宝,荣国威.不合并踝关节骨折的下胫腓分离[J].中华骨科杂志,2004,24(6):372-375. 被引量:21
  • 2苗卫东,王明君,曹湘豫,张韶民,柴充,王斌,张长江.螺旋CT三维重建在踝关节骨折分型诊断与治疗中的应用[J].中华创伤骨科杂志,2006,8(8):795-796. 被引量:26
  • 3张涛,庞桂根,张亚非.下胫腓钩固定治疗下胫腓联合损伤[J].中华骨科杂志,2006,26(9):637-638. 被引量:11
  • 4施保华,沈决心,谭晚明.后踝关节面解剖复位和内固定在踝关节骨折手术治疗中的临床意义.中国医师杂志,2011,13(zl) :47-50.
  • 5Boraial S,Paul 0,Parker RJ,et al. Osteochondral lesions of talusassociated with ankle fractures. Foot Ankle Lilt, 2009,30 (6):481-485.
  • 6Bahr R, Pena F, Shine J, et al. Mechanics of the anterior drawer and talar tilt tests. A cadaveric study of lateral ligament injuries of the ankle. Acta Orthop Scand, 1997, 68: 435-441.
  • 7Cheung JT, An KN, Zhang M. Consequences of partial and total plantar fascia release: a finite element study. Foot Ankle Int, 2006,27: 125-132.
  • 8Liacouras PC, Wayne JS. Computational modeling to predict mechanical function of joints: application to the lower leg with simulation of two cadaver studies. J Biomech Eng, 2007, 129: 811-817.
  • 9Attarian DE, McCrackin H J, DeVito DP, et al. Biomechanical characteristics of human ankle ligaments. Foot Ankle, 1985, 6: 54-58.
  • 10Bahr R, Pena F, Shine J, et al. Ligament force and joint motion in the intact ankle: a cadaverie study. Knee Surg Sports Traumatol Arthrose, 1998, 6: 115-121.

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