螺旋CT三维重组技术在踝关节骨折诊断中的应用价值分析

Analysis of the Application Value of Spiral CT 3D Recombination in the Diagnosis of Ankle Fracture

目的:探析螺旋CT三维重建技术在踝关节骨折诊断中的应用效果。方法:选取2020年1月~2022年12月本院收治的106例踝关节骨折患者为观察对象,所有患者均采取X射线检查与螺旋CT三维重建检查,分析检查结果。结果:旋后-内收型、旋后-外旋型、旋前-外展型、旋前-外旋型、垂直压缩型和总符合率方面,X射线检查分别是54.55%、65.38%、50.00%、72.22%、63.64%、60.38%,CT检查分别是96.97%、92.31%、100.00%、100.00%、100.00%、97.16%,CT检查比X射线检查高(P<0.05);106例患者踝关节损伤总计150处,内踝骨折46处,后踝骨折44处,外踝骨折60处。内踝骨折、后踝骨折、外踝骨折和总检出率方面,X射线检查分别是65.22%、68.18%、91.67%、76.67%,CT检查分别是100.00%、93.18%、93.33%、95.33%,CT检查比X射线检查高(P<0.05)。结论:螺旋CT三维重建技术在踝关节骨折诊断中应用价值较高,不仅能够反映踝关节骨折类型,同时可以清楚地显示骨折部位。

Objective:To explore the application effect of spiral CT three-dimensional reconstruction technology in the diagnosis of ankle joint fractures.Methods:106 patients with ankle fractures in our hospital from January 2020 to December 2022 were selected.All patients underwent X-ray examination and spiral CT threedimensional reconstruction examination,and the examination results were analyzed.Results:That in terms of supination adduction type,supination external rotation type,supination external abduction type,supination external rotation type,vertical compression type,and overall coincidence rate,X-ray examination was 54.55%,65.38%,50.00%,72.22%,63.64%,and 60.38%,respectively,while CT examination was 96.97%,92.31%,100.00%,100.00%,100.00%,and 97.16%,respectively.CT examination was higher than X-ray examination(P<0.05);There were a total of 150 ankle joint injuries in 106 patients,including 46 internal ankle fractures,44 posterior ankle fractures,and 60 external ankle fractures.In terms of internal ankle fracture,posterior ankle fracture,external ankle fracture,and overall detection rate,X-ray examination was 65.22%,68.18%,91.67%,and 76.67%,respectively,while CT examination was 100.00%,93.18%,93.33%,and 95.33%,respectively.CT examination was higher than X-ray examination(P<0.05).Conclusion:Spiral CT three-dimensional reconstruction technology has high application value in the diagnosis of ankle joint fractures.It can not only reflect the type of ankle joint fracture,but also clearly display the fracture site.