多层螺旋CT扫描对外伤性腕关节损伤患者临床诊治价值观察

Clinical Value of Multislice Spiral CT Scan in Patients with Traumatic Wrist Injury

目的分析多层螺旋CT(MSCT)扫描对外伤性腕关节损伤患者临床诊治价值。方法选取本院2017年2月至2018年5月收治的34例外伤性腕关节损伤患者作为研究对象,分析MSCT检查和X线对腕关节骨折或脱位的显示情况。结果34例外伤性腕关节患者经MSCT检查共发现39处骨折或脱位,并经长期随访或手术证实。其中舟状骨骨折10处,头状骨骨折7例,三角骨骨折5例,豆状骨骨折5例,大多角骨骨折4例,月骨周围脱位8例;经X线检查共发现32处骨折或脱位,7处漏诊。34例患者中行开放复位术治疗患者7例,行手术复位术治疗患者23例,其余4例患者行单纯固定。结论MSCT检查可有效提高外伤性腕关节损伤的诊断准确率,其三维重建技术能明确可疑骨折和脱位,可为临床医师手术方案的制定和选择提供可靠的依据。

Objective To analyze the clinical value of multislice spiral CT(MSCT)scan in patients with a traumatic wrist injury.Methods 34 patients with traumatic wrist injury treated in our hospital from February 2017 to May 2018 were selected as the research objects,and the results of MSCT examination and X-rays showing wrist fracture or dislocation were analyzed.Results In the 34 patients with traumatic wrist joints,39 fractures or dislocations were found by MSCT examination and confirmed by longterm follow-up or surgery.Among them,10 cases were scaphoid fractures,7 cases were capitatum fractures,5 cases were triangular bone fractures,5 cases were pisiform fractures,4 cases were trapezium fractures,and 8 cases were dislocations around the lunare.In total,32 fractures were found by X-ray examination,and 7 fractures were missed.In the 34 patients,7 patients were treated with open reduction,23 patients were treated with surgical reduction,and the remaining 4 patients were treated with simple fixation.Conclusion MSCT can effectively improve the diagnostic accuracy of a traumatic wrist injury.Its 3 D reconstruction technology can identify suspicious fractures and dislocations and can provide a reliable basis for the formulation and selection of surgical plans for clinicians.