螺旋CT对106例骨关节损伤的诊断分析及临床研究

Analysis and diagnosis of 106 cases of clinical studies of spiral CT in bone and joint trauma

目的分析螺旋CT在骨关节创伤诊断中的临床应用价值。方法回顾性分析我院2011年1月-2014年1月收治的骨关节创伤患者106例,随机分为对照组和研究组各53例,对照组患者行X线平片扫描;研究组患者在此基础上行螺旋CT图像,研究组患者均行表面遮盖法重建（SSD）以及多平面重建（MPR）。结果在骨关节创伤的显示情况方面,对照组患者平片显示36例（67.9%）,研究组SSD显示50处（94.3%）,MPR显示92处（98.1%）,研究组显示骨折或者脱位数要高于对照组。结论螺旋CT重建处理技术对骨关节创伤的诊断优于X线平片,因而有助于选择合适的临床治疗方案以及手术计划。

Objective To analyze the clinical value of spiral CT in the diagnosis of bone and joint trauma. Methods A retrospective analysis of our hospital from January 2011 to January 2014 admitted 106 patients with bone and joint trauma were randomly divided into two groups, each of 53 patients, the control group underwent X-ray scanning; Study group patients on the basis of upward spiral CT images, the study group patients were shaded surface reconstruction（SSD） and multiplanar reconstruction（MPR）. Results In bone and joint trauma the display case, the X-ray displaied 36 cases in the control group（67.9%）, the study group SSD displaied 50（94.3%）, MPR displaied 92（98.1%）, the number of fracture or dislocation of the study group was more than the control group. Conclusion Spiral CT reconstruction processing techniques for the diagnosis of bone and joint trauma is superior to X-ray film, thus helping to select the appropriate clinical treatment and surgical planning.