64排螺旋CT对胸廓隐匿性骨折的应用价值

Application and value of 64-slice spiral CT examination for occult fracture of the thoracic cavity

目的:评价64排螺旋CT对胸廓隐匿性骨折的应用价值。通过螺旋CT扫描提高骨折的准确率,减少误诊、漏诊;通过CT的三维重建,给临床制定治疗方案提供更多信息。方法:回顾性分析60例经64排螺旋CT扫描确诊胸廓有骨折,而X线胸片(DR)为阴性的完整病例料。其中肋骨骨折40例、胸骨骨折6例、胸椎骨折6例、肋软骨骨折5例、肩胛骨骨折2例、锁骨骨折1例。结果:64排螺旋CT扫描能提高胸廓骨折准确率、减少漏诊率,通过三维重建给临床提供治疗方案有重要作用。结论:64排螺旋CT扫描对胸廓隐匿性骨折的诊断的准确率及对临床提供骨折的信息均明显优于X线摄片。

Objective To evaluate the application of 64-slice spiral CT examination for occult fracture of the thoracic cavity.Through spiral CT scanning improve the accuracy of fracture,reduce of misdiagnosis and missed diagnosis.Through CT 3 D reconstruction,provide more information for clinical treatment.Methods Retrospective analysis of 60 patients with thoracic fractures diagnosed by 64 spiral CT scans,but chest X-ray negative was retrospectively analyzed.Among them,rib fractures were 40 cases,sternal fractures were 6 cases,costal cartilage fractures were 5 cases,scapular fractures were 2 cases,clavicle fracture was 1 case.Results 64-slice spiral CT scanning can provide the accuracy of thoracic fracture and reduce missed diagnosis rate.CT 3 D reconstruction plays an important role in providing clinical treatment.Conclusion The 64-slice spiral CT scan is superior to X-ray in the diagnosis of occult fracture of thorax and the clinical information.