多层螺旋CT三维重建在累及关节面的复杂骨折中的应用探讨

Study of multilayer spiral CT three-dimensional reconstruction in the application of complex fractures involving the articular surface

目的：探讨分析多层螺旋CT三维重建在累及关节面的复杂骨折中的应用价值。方法：选择2012年5月到2015年10月期间在我院进行治疗的78例累及关节面的复杂骨折患者为研究对象,对患者均进行常规轴位CT检查、X线平片检查、多层螺旋CT检查,对比3种检查方式的明确诊断率。结果：X线平片检查明确诊断率为80.8%（63/78）,常规轴位CT检查明确诊断率为93.6%（73/78）,多层螺旋CT检查明确诊断率为100.0%（78/78）,3种检查方式明确诊断率相比,差异具有统计学意义（x^2=19.10,P〈0.01）。结论：多层螺旋CT三维重建能够直观显示患者的骨折状态,为进一步手术治疗提供有效的依据,具有临床推广的应用价值。

Objective Muitislice CT 3 d reconstruction are discussed in the application of complex fracture involving the joint face value.Methods Select from May 2012 to October 2012 in our hospital for treatment of 78 patients with fracture of involving the articular surface complex as the research object,the patients were conventional axial CT examination,X-ray plain film,multilayer spiral CT examination,compare the three kinds of check way clear diagnostic rate.Results X-ray plain film check clear diagnostic rate was 80.8%（63/78）,conventional shaft a definite diagnostic rate was 93.6%（73/78）,CT examination muitislice CT examination definite diagnostic rate was 100.0%（78/78）,three way check clear diagnosis,compared statistically significant differences（X squared = 19.10,P〈0.01）.Conclusions Muitislice CT three-dimensional reconstruction can directly display in patients with fracture state,provide effective basis for further surgery,clinical popularization value.