64层螺旋CT及MPR技术对车祸脊柱骨折患者术前评估意义分析

Analysis on Preoperative Evaluation of 64-slice Spiral CT and MPR Techniques for Patients with Spinal Fracture in Car Accident

目的分析64层螺旋CT及多平面重建(MPR)技术对车祸脊柱骨折患者术前评估意义。方法回顾性分析本院2017年7月至2019年7月收治的71例脊柱骨折患者的临床资料。将X线及MSCT检查的诊断结果进行讨论和分析;对比经X线检查及MSCT检查对脊柱骨折部位的检出率及脊柱骨折部位解剖学改变的检出率。结果 MSCT多平面重建技术对脊柱中柱和后柱骨折的检出率显著优于X线检查,两者比较差异有统计学意义(P<0.05);MSCT多平面重建技术对小关节滑脱、骨碎片、椎管狭窄、椎体移位的检出率显著优于X线检查,两者比较差异有统计学意义(P<0.05)。结论 MSCT扫描多平面重建技术对脊柱骨折患者术前评估具有十分重要的意义,为临床上诊断治疗脊柱骨折提供了可靠的影像学信息,值得广泛推广应用。

Objective To analyze the preoperative evaluation of 64-slice spiral CT and multiplanar reconstruction(MPR)techniques for patients with spinal fracture in car accident.Methods The clinical data of 71 patients with spinal fractures admitted to our hospital from July 2017 to July 2019 were retrospectively analyzed.The diagnosis results of X-ray and MSCT examination were discussed and analyzed.The detection rate of spinal fracture sites and the detection rate of anatomical changes of spinal fracture sites by X-ray examination and MSCT examination were compared.Results The detection rate of MSCT for fractures of the mid-column and posterior column was significantly better than that of the X-ray examination.The difference was statistically significant(P<0.05).The detection rate of MSCT multi planar reconstruction for small joint slippage,bone fragments,spinal stenosis,and vertebral displacement was significantly better than that of X-ray examination.The difference was statistically significant(P<0.05).Conclusion MSCT scanning multiplanar reconstruction has great significance for preoperative evaluation of patients with spinal fractures.It provides reliable imaging information for clinical diagnosis and treatment of spinal fractures and be worthing widespread application.