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Quantitative investigation of multi-fracture morphology during TPDF through true tri-axial fracturing experiments and CT scanning 被引量:6
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作者 Ming-Hui Li Fu-Jian Zhou +3 位作者 Jin-Jun Liu Li-Shan Yuan Guo-Peng Huang Bo Wang 《Petroleum Science》 SCIE CAS CSCD 2022年第4期1700-1717,共18页
Due to the reservoir heterogeneity and the stress shadow effect, multiple hydraulic fractures within one fracturing segment cannot be initiated simultaneously and propagate evenly, which will cause a low effectiveness... Due to the reservoir heterogeneity and the stress shadow effect, multiple hydraulic fractures within one fracturing segment cannot be initiated simultaneously and propagate evenly, which will cause a low effectiveness of reservoir stimulation. Temporary plugging and diverting fracturing(TPDF) is considered to be a potential uniform-stimulation method for creating multiple fractures simultaneously in the oilfield. However, the multi-fracture propagation morphology during TPDF is not clear now. The purpose of this study is to quantitatively investigate the multi-fracture propagation morphology during TPDF through true tri-axial fracturing experiments and CT scanning. Critical parameters such as fracture spacing, number of perforation clusters, the viscosity of fracturing fluid, and the in-situ stress have been investigated. The fracture geometry before and after diversion have been quantitively analyzed based on the two-dimensional CT slices and three-dimensional reconstruction method. The main conclusions are as follows:(1) When injecting the high viscosity fluid or perforating at the location with low in-situ stress, multiple hydraulic fractures would simultaneously propagate. Otherwise, only one hydraulic fracture was created during the initial fracturing stage(IFS) for most tests.(2) The perforation cluster effectiveness(PCE) has increased from 26.62% during the IFS to 88.86% after using diverters.(3) The diverted fracture volume has no apparent correlation with the pressure peak and peak frequency during the diversion fracturing stage(DFS) but is positively correlated with water-work.(4) Four types of plugging behavior in shale could be controlled by adjusting the diverter recipe and diverter injection time, and the plugging behavior includes plugging the natural fracture in the wellbore, plugging the previous hydraulic fractures, plugging the fracture tip and plugging the bedding. 展开更多
关键词 Hydraulic fracturing Temporary plugging and diverting fracturing(TPDF) Multiple fracture Tri-axial experiment ct scanning
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Efficacy of high resolution computed tomography for detection of early healing in scaphoid fractures 被引量:1
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作者 Michael Di Ianni Jatin Kaicker +1 位作者 Ke Wu Hema Choudur 《Open Journal of Clinical Diagnostics》 2012年第3期51-55,共5页
Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the... Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the detection of early fracture healing compared to plain radiographs and magnetic resonance imaging (MRI). Methods: Outpatients attending follow-up visits for scaphoid fractures at Hamilton General Hospital were included in this investigation. Inclusion criteria included outpatients over age of 18 who consented to attend a follow-up visit for the scaphoid fracture at 6 weeks for X-Ray, 64-slice CT and MRI scan to monitor fracture healing. Assessment of healing was independently interpreted by two radiologists specialized in musculoskeletal imaging. A total of 7 adult outpatients were accrued, with each case classified as healing, not healing, or equivocal for plain radiography and 64-slice CT scan. Results: For plain radiographs, the level of interrater agreement for evidence of healing was 57% (4/7) cases. When comparing this to CT scans, there was no discrepancy between radiologists as 100% (7/7) were found to have evidence of healing. The 64-slice CT scan demonstrated evidence of early trabecular continuity in all cases, including radiographs that were interpreted as equivocal. Conclusion: This study can be considered a pilot project for the efficacy of 64-slice CT in the assessment of early healing of scaphoid fractures. For clinicians, the multiplanar reconstruction images allows for more accurate assessment of fractures than plain radiography. CT scans are able to penetrate through bony callus that may obscure visualization of healing in plain radiography, demonstrate trabecular continuity better than plain radiographs, are readily accessible and provide faster imaging acquisition. The observations from this study may have implications in terms of duration and type of casting applied, timing of strengthening exercises, and avoiding unnecessary surgery which affect patient morbidity and cost of care. 展开更多
关键词 WRIST fracture SCAPHOID BONE fracture SCAPHOID BONE fracture HEALING 64-Slice ct scans TRABECULAR Continuity
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Investigating microscopic seepage characteristics and fracture effectiveness of tight sandstones:a digital core approach 被引量:1
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作者 Jing Li Xiao-Rong Li +3 位作者 Ming-Shui Song Hui-Min Liu Yong-Cun Feng Chen Liu 《Petroleum Science》 SCIE CAS CSCD 2021年第1期173-182,共10页
Microscopic seepage characteristics are critical for the evaluation of tight sandstone reservoirs.In this study,a digital core approach integrating microscopic seepage simulation and CT scanning was developed to chara... Microscopic seepage characteristics are critical for the evaluation of tight sandstone reservoirs.In this study,a digital core approach integrating microscopic seepage simulation and CT scanning was developed to characterize microscopic seepage and fracture effectiveness(the ratio of micro-fractures that contributes to fluid flow)of tight sandstones.Numerical simulations were carried out for characterizations of tight sandstones.The results show that the axial permeability of the investigated cylindrical tight sandstone from Junggar Basin in China is 0.460μm~2,while the radial permeability is 0.3723μm~2,and the axial and radial effective fracture ratios are 0.4387 and 0.4806,respectively,indicating that cracks are not fully developed and the connectivity between micro-cracks is poor.Directional permeability that is difficult to measure by laboratory experiments can be obtained readily using the proposed method in this paper.The results provide important information for improving the exploration and development of tight sandstone reservoirs. 展开更多
关键词 Tight sandstone Digital core approach ct scanning Microscopic seepage characteristics fracture effectiveness
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Experimental Examination of Fluid Flow in Fractured Carbon Storage Sealing Formations
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作者 Dustin Crandall Grant Bromhal 《International Journal of Geosciences》 2013年第8期1175-1185,共11页
This report describes a series of experiments where CO2-saturated-brine flow through fractured seal rocks from three sites within the continental United States that are being considered, or are actively being used, fo... This report describes a series of experiments where CO2-saturated-brine flow through fractured seal rocks from three sites within the continental United States that are being considered, or are actively being used, for CCUS pilot studies were examined. The experiments were performed over multiple weeks by injecting CO2 saturated brine through fractured samples, and were scanned with a computed tomography scanner at regular intervals over the course of the experiment while kept at representative reservoir pressures. The goal was to evaluate the change in the fracture flow that would result from a CO2 leakage event so that accurate relationships can be implemented in numerical models to assess risk. Of the three different formations studied in this series of fractured seal formation CO2-saturated-brine flow through experiments, only one formation had a reaction that was greater than the noise in the system. Reactions within the Tuscaloosa claystone sample appeared to reduce the transmissivity of the fracture slightly over the 39 day experiment. The change in the geometry of the fracture was not great enough to view with the medical CT images that were captured during the experiment. All other tests showed a minimal amount of change in the fracture and fracture flow properties. 展开更多
关键词 CCUS fractured SEAL ct scanNING fractured ROCK Flow
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Intra-Articular Distal Radius Fracture with Lunate Fossa Rotated and Associated Lesions: Radiologic Analysis
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作者 Issam Ait Hadj Sliman Cesar Tommeh +1 位作者 Frederic Desmoulin André-Pierre Uzel 《Open Journal of Orthopedics》 2023年第4期123-130,共8页
Introduction: Intra-articular distal radial fractures in young patients occur in high energy trauma which can lead to a combination of bone and ligaments lesions. An articular step superior to 2 mm is pejorative, for ... Introduction: Intra-articular distal radial fractures in young patients occur in high energy trauma which can lead to a combination of bone and ligaments lesions. An articular step superior to 2 mm is pejorative, for that an adequate radiologic analysis is necessary accessing to the best surgical treatment. The purpose of our study was to investigate this type of fracture and expose radiologic analysis (radiograph and CT-scan) of bone and ligamentous associated lesions of this specific twisted lunate facet fracture for recognizing it and accessing to the best surgical treatment. Patients and Methods: Seven patients with severely displaced type 4 articular fractures of the distal radius whose wrists had been exposed to violent compression are reported in our series, they are required open treatment for the reduction and fixation of disrupted articular surfaces by using an antero-medial approach which allows direct access to the fragment of the lunate facet and easier visualization of the distal radio-ulnar joint. Results: All the patients were clinically examined with antero-posterior and lateral X ray, completed by a CT scan, all the fractures were type IV according to Melone classification. In all of our seven cases there was a lesion of the distal radioulnar joint (DRUJ) identified in the CT scan. The CT scan allowed us to individualize well the void of the lunate fossa and calculate his exact degree of rotation, which is very important for planning therapeutic management. Discussion: In all of our cases the CT scan was to expose all of the osseous and ligamentous injuries;in the sagittal reconstruction we were able to objectify and calculate the exact degree of the rotation of the lunate fossa fragment;in the frontal reconstruction the void of the lunate fossa is visible and in the axial reconstruction we can determine the incongruence of the distal radio-ulnar joint (DRUJ). Intra-articular involvement has long been recognized as a poor prognostic factor in fractures of the distal radius. However, despite early studies reporting poor results with non operative treatment for these injuries, most authors opposed operative intervention, due to lack of a good radiological analysis and the CT scan;knowledge that a number of studies have shown that inadequate reduction of intra-articular distal radius fractures leads to the development of arthritis. 展开更多
关键词 Articular fracture Lunate Facet Distal Radio-Ulnar Joint WRIST RADIOGRAPH ct-scan
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Fracture evolution analysis of soil-rock mixture in contrast with soil by CT scanning under uniaxial compressive conditions
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作者 SUN XiuKuo LI Xiao +3 位作者 MAO TianQiao ZHENG Bo WU YanFang LI GuanFang 《Science China(Technological Sciences)》 SCIE EI CAS CSCD 2021年第12期2771-2780,共10页
Soil-rock mixture(SRM),as a type of extremely heterogeneous geomaterial,is very common in nature and engineering.The fracture and damage of SRM often induce severe geological disasters.Hence,it is important to analyze... Soil-rock mixture(SRM),as a type of extremely heterogeneous geomaterial,is very common in nature and engineering.The fracture and damage of SRM often induce severe geological disasters.Hence,it is important to analyze the fracture evolution process of this material.In the present research,real-time computed tomography(CT)scanning was conducted on SRM and pure soil samples under uniaxial compressive experiments to investigate the influence of rocks on fracture evolution in SRM.The initiation of cracks,the original values of,and variations in,average density and heterogeneity in the soil matrix,the crack width evolution during loading,and the final failure modes were all studied.Cracks with a width greater than 0.1 mm will not arise until over 90%of ultimate stress is reached.In general,in SRM,areas where the initial average density of the soil matrix is smaller and the initial heterogeneity is greater,are much easier to crack,but the results for pure soil show the opposite effect.According to fracturing conditions shown in CT slices,fracturing and non-fracturing areas in the soil matrix were investigated.The average density of the soil matrix decreases in all areas under loading,except non-fracturing areas in SRM.For the whole sample,the increase in heterogeneity in the soil matrix of SRM is greater than that of pure soil;but for the fracturing areas,this increase in pure soil is greater.Besides,the average and standard deviations of crack width both follow logarithmic distributions with high correlation coefficients. 展开更多
关键词 soil-rock mixture fracture evolution real-time ct scanning ct value crack width
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Wormholes propagation for fractured-vuggy formation:Laboratory tests,numerical simulation and field application 被引量:3
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作者 Fei Liu Yu Sang +3 位作者 Nanxing Xie Li Li Li Ran Weihua Chen 《Petroleum》 2017年第4期438-446,共9页
The propagation of wormhole is vital important for matrix acidizing and acid fracturing in carbonate reservoirs.While the formation of acid dissolved wormhole is derived from heterogeneous physical and chemical transp... The propagation of wormhole is vital important for matrix acidizing and acid fracturing in carbonate reservoirs.While the formation of acid dissolved wormhole is derived from heterogeneous physical and chemical transportations and reactions.Alveolate dissolved pores,krast caves,and natural fissures are the major reservoir spaces for the Sinian dolomite formation in the Anyue gas field of the Sichuan Basin.There were four categories of formation,which are matrix dominated,inter-breccia dissolved pore dominated,dissolved pore and cave dominated,and fissure and cave dominated,based on the development intensity and connectedness of caves and fissures.The caves and fissures make the wormhole formation and propagation particularly complicated.Firstly,the 3-D topological structure of dissolved pores,vugs,fissures and throats inside cores is quantitatively scanned by CT imaging technology for its feature of vivid and damage-free.Secondly,3-D patterns of wormhole are obtained with CT scanning after core flooding by acid.Additionally,the porethroat network model is reconstructed with digital cores technology.Then,the size and ratio of pore and throat before and after core flooding by acid is analyzed and the absolute permeability of pore scale flow is numerically simulated to understand the fundamental influence of pores and vugs distribution and connectedness on wormhole propagation.Lastly,the wormhole pattern gained by CT scanning and simulating with two-scale model is compared.Meanwhile,the corrected two-scale model is utilized to simulate the wormhole propagation for matrix acidizing and acid fracturing of Sinian fractured-vuggy dolomite in Anyue gas field,Sichuan Basin.The optimized injection rate and volume were in agreement with the characteristic matrix acidizing operating curve,which indicates that the two-scale model was suitable for matrix acidizing optimization design of such formations.In addition,the simulated acid etched fracture length with considering the dynamic wormhole leakoff was consistent with the well testing interpreted result. 展开更多
关键词 ct scanning Digital core DOLOMITE WORMHOLE fractured-vuggy reservoir Matrix acidizing Acid fracturing
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运用CT三维重建技术测量骨质疏松性椎体压缩骨折与中青年创伤性胸腰椎骨折患者椎弓根宽度的临床价值
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作者 陈兵 陈运久 +3 位作者 侯伟 罗容智 黄昀桀 曹成安 《西部医学》 2024年第8期1175-1179,共5页
目的探讨运用CT三维重建技术测量骨质疏松性椎体压缩骨折(OVCF)与中青年创伤性胸腰椎(T_(11)-L_(5))骨折患者椎弓根宽度(PW)的临床价值。方法收集2020年10月—2022年10月我院收治的117例脊柱胸腰段骨折患者资料进行回顾性分析,将65例OVC... 目的探讨运用CT三维重建技术测量骨质疏松性椎体压缩骨折(OVCF)与中青年创伤性胸腰椎(T_(11)-L_(5))骨折患者椎弓根宽度(PW)的临床价值。方法收集2020年10月—2022年10月我院收治的117例脊柱胸腰段骨折患者资料进行回顾性分析,将65例OVCF患者纳入A组,将52例中青年创伤性胸腰椎(T_(11)-L_(5))骨折患者纳入B组,均采用CT三维重建技术测量T_(11)-L_(5)各对应脊椎PW,比较两组各对应弓根两侧PW及不同性别间的差异,并计算PW<5 mm及<7 mm的百分比。结果A组对应脊椎左右侧PW比较差异无统计学意义(P>0.05)。A组T_(11)-L_(5)各对应脊椎的PW值小于B组(P<0.05)。两组T_(11)-L_(5)各对应脊椎的PW值男性大于女性(P<0.05),A组T_(11)-L_(3)各对应脊椎的男性和女性PW值小于B组(P<0.05),两组的L_(4)、L_(5)脊椎PW值比较差异无统计学意义(P>0.05)。A组共测量655个椎弓根,PW<5 mm者占椎弓根总数的7.48%,主要分布于T_(11)-L_(3)脊椎,<7 mm占比37.25%,T_(11)-L_(4)均有分布;B组共测量359个椎弓根,PW<5 mm者占椎弓根总数的1.67%,T_(12)-L_(2)分别均有分布,<7 mm患者占比13.09%,分布于T_(11)-L_(3)。A组PW<5 mm占比和7 mm占比高于B组(均P<0.05)。结论老年OVCF患者T_(11)-L_(3) PW小于中青年创伤性胸腰椎骨折患者,且女性小于男性,故临床应对胸腰椎骨折患者术前行CT三维重建检查,测量PW,以评估手术治疗的可行性,并降低并发症发生。 展开更多
关键词 骨质疏松 椎体压缩骨折 创伤性胸腰椎骨折 ct 三维重建技术 椎弓根宽度
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基于CT扫描的CO_(2)相变致裂煤裂隙演化特征
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作者 刘高峰 关文博 +3 位作者 张震 李宝林 刘欢 司念 《矿业科学学报》 CSCD 北大核心 2024年第3期342-350,共9页
为进一步揭示CO_(2)相变致裂煤的裂隙改造机理,开展了CO_(2)相变致裂煤体实验,基于CT扫描和三维裂隙重构,分析了CO_(2)相变致裂前后的煤样内部裂隙结构参数,查明了CO_(2)相变致裂煤的三维裂隙结构演化特征。结果表明,致裂后煤样的裂隙... 为进一步揭示CO_(2)相变致裂煤的裂隙改造机理,开展了CO_(2)相变致裂煤体实验,基于CT扫描和三维裂隙重构,分析了CO_(2)相变致裂前后的煤样内部裂隙结构参数,查明了CO_(2)相变致裂煤的三维裂隙结构演化特征。结果表明,致裂后煤样的裂隙总数量减少,裂隙总体积和裂隙总表面积增加;CO_(2)相变致裂产生了裂隙扩张转化效应,在致裂压力的扩张作用下,小尺度裂隙转化为更大尺度的裂隙;长度小于1000μm的裂隙数量减少、裂隙体积和表面积明显减小,长度大于1000μm的裂隙体积和表面积明显增大,且裂隙之间扩张贯通而引起其数量减少;CO_(2)相变致裂大幅度改善了煤体三维裂隙的连通性,有利于气体的运移和产出。此研究为CO_(2)相变致裂效果提供新的分析评价方法,也可为其他非常规天然气储层及其改造的裂隙演化特征研究提供参考和借鉴。 展开更多
关键词 CO_(2)相变致裂 ct扫描 煤储层 三维裂隙演化
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CT与MRI对胸腰椎爆裂性骨折合并后方韧带复合体损伤的评价及影响因素分析
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作者 王瑞波 王自涛 +1 位作者 李燕平 孙邦建 《中国医学装备》 2024年第6期50-55,共6页
目的:探讨CT与MRI对胸腰椎爆裂性骨折合并后方韧带复合体(PLC)损伤的评价及影响因素。方法:选取2020年1月至2023年6月邯郸市第一医院诊治的68例胸腰椎爆裂性骨折患者,以手术结果为“金标准”,将其中32例确诊为胸腰椎爆裂性骨折并发PLC... 目的:探讨CT与MRI对胸腰椎爆裂性骨折合并后方韧带复合体(PLC)损伤的评价及影响因素。方法:选取2020年1月至2023年6月邯郸市第一医院诊治的68例胸腰椎爆裂性骨折患者,以手术结果为“金标准”,将其中32例确诊为胸腰椎爆裂性骨折并发PLC损伤患者纳入PLC组,36例未并发PLC损伤患者纳入非PLC组。所有患者均于术前行计算机断层扫描(CT)、磁共振成像(MRI)检查,采用四格表法计算CT、MRI诊断胸腰椎爆裂性骨折并发PLC损伤的阳性和阴性预测值,采用受试者工作特征(ROC)曲线分析CT、MRI诊断胸腰椎爆裂性骨折并发PLC损伤的ROC曲线下面积(AUC)值、灵敏度及特异度。采用logistic回归模型分析胸腰椎爆裂性骨折患者并发PLC损伤的危险因素,比较两组载荷分享评分系统(LCS)评分、椎管内占位率、胸腰椎损伤分类及严重程度(TLICS)评分,以及柯布(Cobb)角、椎体楔变角(SIEA)、局部后凸角(LK)及棘突间距增加值(IISD)的差异。结果:68例胸腰椎爆裂性骨折患者经CT检查后,其中34例显示PLC损伤,34例显示无PLC损伤,PLC损伤的阳性预测值为70.59%(24/34),阴性预测值为76.47%(26/34),与“金标准”相比,一致性一般(Kappa=0.471,P<0.001);经MRI检测后,其中33例显示PLC损伤,35例显示无PLC损伤,PLC损伤阳性预测值为90.91%(30/33),阴性预测值为94.29%(33/35),与“金标准”相比,一致性较好(Kappa=0.853,P<0.001)。MRI的诊断确诊率为92.65%(63/68),高于CT的73.53%(50/68),差异有统计学意义(χ^(2)=8.843,P<0.05)。ROC曲线分析显示,CT、MRI诊断胸腰椎爆裂性骨折并发PLC损伤的AUC分别为0.730、0.919;灵敏度分别为70.60%、75.40;特异度分别为88.20%、95.70%。PLC组与非PLC组患者的性别、年龄、体质量指数(BMI)、受伤原因、LCS评分以及椎管内占位率比较,差异无统计学意义(P>0.05);而在TLICS评分、Cobb角、SIEA、LK及IISD比较中,差异具有统计学意义(χ^(2)=19.443、4.181、4.973、5.198、5.056,P<0.05)。logistic回归分析显示,TLICS评分>5分、Cobb角、SIEA、LK及IISD是影响胸腰椎爆裂性骨折患者并发PLC损伤的危险因素(OR=13.973、1.155、1.365、1.385、5.262,P<0.05)。结论:MRI诊断胸腰椎爆裂性骨折合并PLC损伤效能高于CT,且TLICS评分、Cobb角、SIEA、LK及IISD对胸腰椎爆裂性骨折患者并发PLC损伤产生影响。 展开更多
关键词 计算体层成像(ct) 磁共振成像(MRI) 胸腰椎爆裂性骨折 后方韧带复合体损伤(PLC) 影响因素
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MRI与CT在老年胸腰椎压缩性骨折诊断中的应用分析
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作者 王佳文 《中国伤残医学》 2024年第1期18-21,共4页
目的:分析MRI与CT在老年胸腰椎压缩性骨折诊断中的应用。方法:选取2019年7月—2021年7月建昌县人民医院收治的78例老年胸腰椎压缩性骨折患者为研究对象,并随机将其分为对照组和观察组,各39例。所有患者均先进行X线检查,对照组采用CT进... 目的:分析MRI与CT在老年胸腰椎压缩性骨折诊断中的应用。方法:选取2019年7月—2021年7月建昌县人民医院收治的78例老年胸腰椎压缩性骨折患者为研究对象,并随机将其分为对照组和观察组,各39例。所有患者均先进行X线检查,对照组采用CT进行诊断,观察组采用MRI进行诊断,对比2组的诊断结果。结果:以X线检查结果为标准,观察组准确度为97.44%,高于对照组的79.49%,差异有统计学意义(P<0.05)。陈旧骨折椎体的加权图像表现为T1高信号、T2等信号、抑脂T2长低信号;形态表现为扁平、楔形;椎体周围软组织均无异常信号。新鲜骨折椎体的加权图像表现为T1低信号(不规则)、T2高信号、抑脂T2高信号;形态表现为扁平、楔形、凹陷形;椎体周围软组织均存在异常信号分布。结论:使用MRI对老年胸腰椎压缩性骨折患者进行检查较CT检查更加全面,准确度更高,能够明确骨折新旧程度,为临床诊断提供更加准确的影像资料。 展开更多
关键词 老年胸腰椎压缩性骨折 MRI ct 准确度
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CT平扫联合三维重建诊断不同下颌髁突骨折类型、骨骼移位类型和软组织损伤的效能分析
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作者 赵梓杨 张玲娟 +2 位作者 王云肖 代福月 董欣 《生物医学工程与临床》 CAS 2024年第2期180-185,共6页
目的 探讨CT平扫联合三维重建对不同下颌髁突骨折类型、骨骼移位类型和软组织损伤的诊断效能。方法选择2017年6月至2022年6月于邢台市人民医院收治的80例疑似下颌髁突骨折患者,其中男性40例,女性40例;年龄22~65岁,平均年龄35.54岁;损伤... 目的 探讨CT平扫联合三维重建对不同下颌髁突骨折类型、骨骼移位类型和软组织损伤的诊断效能。方法选择2017年6月至2022年6月于邢台市人民医院收治的80例疑似下颌髁突骨折患者,其中男性40例,女性40例;年龄22~65岁,平均年龄35.54岁;损伤原因,意外摔伤23例,交通事故致伤35例,打击致伤22例。全部患者均完善CT联合三维重建和MRI检查。以术中诊断作为评定金标准,比较两种检查方法对不同下颌髁突骨折类型、骨骼移位类型和软组织损伤的检出率,并采用受试者工作特性(ROC)曲线分析两种检查方法的诊断效能。结果 CT平扫联合三维重建和MRI检查对髁突头骨折、髁突颈部骨折、髁突下骨折和Ⅰ型、Ⅱ型、Ⅲ型骨折及关节腔积液的检出率对比,差异均无统计学意义(均P> 0.05)。MRI对韧带撕裂和髁突表面软组织损伤的检出率明显高于CT平扫联合三维重建[81.25%vs 56.25%、78.75%vs 52.50%。均P <0.05]。ROC曲线结果显示,MRI和CT平扫联合三维重建对髁突骨折类型、关节腔积液和髁突骨折移位情况的诊断效能相当,差异无统计学意义(P> 0.05)。其中MRI对韧带撕裂和髁突表面软组织损伤的诊断效能优于CT平扫联合三维重建。结论 CT平扫联合三维重建和MRI检查对髁突骨折类型、骨折移位情况和关节腔积液的诊断效能相当,其中MRI对软组织损伤的诊断价值更高。 展开更多
关键词 ct平扫 三维重建 下颌髁突骨折 骨骼移位类型 软组织损伤 效能分析
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多层螺旋CT诊断胸腰椎爆裂性骨折的应用价值
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作者 周龙月 《中国伤残医学》 2024年第7期13-16,共4页
目的:分析多层螺旋CT诊断胸腰椎爆裂性骨折的应用价值。方法:选取本院2019年7月-2021年7月检查的95例胸腰椎爆裂性骨折患者为研究对象,采用多层螺旋CT及X线诊断,对比分析多层螺旋CT的应用效果。结果:多层螺旋CT诊断胸腰椎爆裂性骨折的... 目的:分析多层螺旋CT诊断胸腰椎爆裂性骨折的应用价值。方法:选取本院2019年7月-2021年7月检查的95例胸腰椎爆裂性骨折患者为研究对象,采用多层螺旋CT及X线诊断,对比分析多层螺旋CT的应用效果。结果:多层螺旋CT诊断胸腰椎爆裂性骨折的检出率为97.8%,高于X线检查的84.2%,漏诊率及误诊率分别为1.1%、1.1%,低于X线检查的8.4%、7.4%,组间差异有统计学意义(P<0.05)。多层螺旋CT对各类型骨折检出率均高于X线检查,组间差异有统计学意义(P<0.05)。多层螺旋CT平扫轴位与多平面重建(MPR)对各类型骨折的检出率均高于容积再现(VRT),组间差异有统计学意义(P<0.05)。MPR对附件骨折数、椎管分度准确数检出比例高于多层螺旋CT,组间差异有统计学意义(P<0.05)。结论:胸腰椎爆裂性骨折应用多层螺旋CT诊断,可准确判断疾病,并鉴别骨折类型,为临床诊疗提供可靠证据。 展开更多
关键词 胸腰椎爆裂性骨折 多层螺旋ct X线
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多层螺旋CT多平面重组技术在胸腰椎爆裂性骨折术前评估的应用价值探讨
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作者 马坤松 《现代医用影像学》 2024年第3期457-460,共4页
目的:探讨多层螺旋CT(MSCT)多平面重组技术(MRP)在胸腰椎爆裂性骨折术前评估的应用价值。方法:选取2019年9月至2021年10月我院收治的胸腰椎爆裂性骨折患者30例,全部接受MSCT-MPR检查。观察比较常规MSCT检查与MSCT-MPR检查对胸腰椎爆裂... 目的:探讨多层螺旋CT(MSCT)多平面重组技术(MRP)在胸腰椎爆裂性骨折术前评估的应用价值。方法:选取2019年9月至2021年10月我院收治的胸腰椎爆裂性骨折患者30例,全部接受MSCT-MPR检查。观察比较常规MSCT检查与MSCT-MPR检查对胸腰椎爆裂性骨折的显示情况及TLICS评分。结果:MSCT-MPR检查显示胸腰椎爆裂性骨折骨折情况的准确率明显比常规MSCT检查显著更高(P<0.05)。MSCT-MPR检查TLICS评分明显比常规MSCT检查更高(P<0.05),MSCT-MPR检查显示TLICS评分≥5分及TLICS评分≥7分占比明显比常规MSCT检查更高(P<0.05)。结论:给予胸腰椎爆裂性骨折使用MSCT-MPR进行检查,能够为临床医师提供更加全面更加详尽的参考数据以及参考信息,同时能够协助临床医师为患者制定更加合适更加具有针对性的手术方案。 展开更多
关键词 多层螺旋ct 多平面重组技术 胸腰椎爆裂性骨折 术前评估
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CT三维重建及薄层扫描联合磁共振ADC定量诊断良、恶性脊柱骨折的价值分析
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作者 张婧婷 《中国伤残医学》 2024年第9期17-20,共4页
目的:探讨CT三维重建及薄层扫描联合磁共振ADC定量诊断良、恶性脊柱骨折的价值。方法:选取该院2021年2月-2023年2月收治的80例脊柱骨折患者为研究对象,所有患者均使用CT三维重建及薄层扫描、磁共振表观扩散系数定量诊断,并且以病理诊断... 目的:探讨CT三维重建及薄层扫描联合磁共振ADC定量诊断良、恶性脊柱骨折的价值。方法:选取该院2021年2月-2023年2月收治的80例脊柱骨折患者为研究对象,所有患者均使用CT三维重建及薄层扫描、磁共振表观扩散系数定量诊断,并且以病理诊断作为金标准,对比3种诊断方式的诊断价值、诊断效能、影像学特征及ADC数值。结果:经病理诊断80例脊柱骨折患者中良性52例,恶性28例。CT三维重建及薄层扫描、磁共振表观扩散系数定量诊断、联合检查良性检出数分别为41例、47例、51例,其中联合检查阳性检出数更高,与病理检查结果具有一致性,差异有统计学意义(P<0.05)。联合检查阳性检出率、灵敏度、特异度、阳性预测值、阴性预测值、诊断符合率均高于磁共振表观扩散系数定量诊断、CT三维重建及薄层扫描,组间差异有统计学意义(P<0.05)。CT影像特征显示,良性脊柱骨折患者有80.77%呈现T2WI高信号,恶性脊柱骨折89.29%存在T2WI高信号,差异无统计学意义(P>0.05)。良性椎体骨折椎体形态楔形为90.30%,高于恶性脊柱骨折的64.29%,恶性脊柱骨折椎体后缘膨隆概率为42.86%,高于良性的7.69%,恶性脊柱骨折椎旁软组织结节肿块检出为32.14%,良性脊柱骨折未检出结节肿块;良性脊柱骨折ADC均值为(2.14±0.70)×10^(3)mm^(2)/s,恶性脊柱骨折ADC均值为(1.24±0.41)×10^(3)mm^(2)/s,组间差异有统计学意义(P<0.05)。结论:脊柱骨折患者疾病诊断过程中使用CT三维重建及薄层扫描联合磁共振表观扩散系数定量诊断能够实现疾病的良性恶性区分,对于疾病治疗方案制订有重要指导价值。 展开更多
关键词 脊柱骨折 ct三维重建 薄层扫描 磁共振ADC
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MSCT三维重组扫描诊断对跟骨骨折的诊断能效分析
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作者 王超 《中国伤残医学》 2024年第4期18-20,共3页
目的:研究多层螺旋CT(MSCT)三维重组扫描诊断对跟骨骨折的诊断能效.方法:选取2019年1月-2020年11月我院收治的177例疑似跟骨骨折患者为研究对象.对所有受试者均开展X线检查及MSCT三维重组扫描检查.检查结果的分析均由医院2名经验丰富的... 目的:研究多层螺旋CT(MSCT)三维重组扫描诊断对跟骨骨折的诊断能效.方法:选取2019年1月-2020年11月我院收治的177例疑似跟骨骨折患者为研究对象.对所有受试者均开展X线检查及MSCT三维重组扫描检查.检查结果的分析均由医院2名经验丰富的影像科医生通过双盲法完成.分析不同诊断方法应用于跟骨骨折中的诊断效能.此外,比较不同诊断方法评估骨折程度、位移情况以及关节受累情况的效能.结果:X线检查共检出跟骨骨折113例,其中漏诊35例,误诊7例.MSCT三维重组扫描共检出跟骨骨折141例,其中漏诊0例,误诊0例.以临床结合辅助检查结果为金标准,MSCT三维重组扫描诊断跟骨骨折中的灵敏度、特异度及准确度分别高于X线检查,组间差异有统计学意义(P<0.05).MSCT三维重组扫描诊断单线骨折、粉碎性骨折、碎片位移及关节受累的准确率均高于X线检查,组间差异有统计学意义(P<0.05).结论:MSCT三维重组扫描诊断对跟骨骨折的诊断能效较高,具有较为理想的灵敏度、特异度以及准确度. 展开更多
关键词 跟骨骨折 多层螺旋ct 三维重组扫描 诊断能效 X线检查
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CT扫描在胸腰椎骨折诊断中的价值 被引量:11
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作者 董国礼 李春平 +2 位作者 张小明 唐显映 杨汉锋 《临床放射学杂志》 CSCD 北大核心 1998年第2期106-108,共3页
目的:探讨胸腰椎骨折的CT扫描价值。材料与方法:回顾性分析70例胸腰椎骨折的CT扫描资料。结果:70例98节胸腰椎骨折中,单椎体骨折48例,多椎体骨折22例,CT诊断准确率为98%,以爆裂型(54.1%)和压缩型(3... 目的:探讨胸腰椎骨折的CT扫描价值。材料与方法:回顾性分析70例胸腰椎骨折的CT扫描资料。结果:70例98节胸腰椎骨折中,单椎体骨折48例,多椎体骨折22例,CT诊断准确率为98%,以爆裂型(54.1%)和压缩型(35.7%)骨折多见,三柱受累中以前中柱(22.4%)和前中后柱(55.1%)多见,椎管狭窄发生率高达53.1%。结论:CT扫描对胸腰椎骨折的诊断、分类、判断脊柱失稳。 展开更多
关键词 脊椎骨折 胸腰椎骨折 ct 诊断
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胸腰段和腰椎椎体矢状骨折线的CT影像学分析 被引量:13
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作者 敖俊 王震 +3 位作者 覃建朴 曹广如 季文军 廖文波 《实用医学杂志》 CAS 北大核心 2013年第1期4-6,共3页
目的:探讨胸腰段和腰椎椎体矢状骨折线的走行规律及其与椎弓根的关系,为经椎管手术入路减压、椎体内植骨提供指导。方法:对86例(93椎)胸腰段和腰椎骨折椎体行CT及三维重建,观察和分析椎体矢状骨折线的分布、走行规律以及与椎弓根高度区... 目的:探讨胸腰段和腰椎椎体矢状骨折线的走行规律及其与椎弓根的关系,为经椎管手术入路减压、椎体内植骨提供指导。方法:对86例(93椎)胸腰段和腰椎骨折椎体行CT及三维重建,观察和分析椎体矢状骨折线的分布、走行规律以及与椎弓根高度区间的关系。结果:93个伤椎椎体中有89个可见椎体矢状骨折线,且矢状骨折线与椎体后壁相通,椎体矢状骨折线绝大多数位于椎弓根所对应的高度区间内。结论:存在椎体高度丢失的胸腰段和腰椎骨折均存在椎体的矢状骨折线,该骨折线的后端绝大部分位于椎弓根高度区间内。临床可通过该骨折线与椎弓根的关系指导椎管内骨折块复位并进行椎体内植骨。 展开更多
关键词 骨折 胸腰段 腰椎 ct
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多层螺旋CT三维重建技术在胸腰椎骨折经椎弓根螺钉内固定术中的应用价值 被引量:24
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作者 杨雯栋 王清 +1 位作者 兰永树 钟德君 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2011年第6期452-455,共4页
目的:探讨多层螺旋CT(MSCT)三维重建技术在胸腰椎骨折患者经椎弓根螺钉内固定术中的应用价值。方法:2007年1月2008年12月,78例胸腰椎骨折患者在我院行椎弓根螺钉内固定术,其中38例使用传统置钉法(Weinstein法或AO法)进行椎弓根螺... 目的:探讨多层螺旋CT(MSCT)三维重建技术在胸腰椎骨折患者经椎弓根螺钉内固定术中的应用价值。方法:2007年1月2008年12月,78例胸腰椎骨折患者在我院行椎弓根螺钉内固定术,其中38例使用传统置钉法(Weinstein法或AO法)进行椎弓根螺钉置入(A组),40例采用MSCT三维重建设计钉道的置钉方法进行螺钉置入(B组),术后两组均复查胸腰椎正、侧位X线片和CT了解置入螺钉位置情况,应用Lonstein等的方法评判置钉准确率。结果:78例患者共置入椎弓根螺钉436枚,A组38例共置入212枚,12例32枚螺钉穿破椎弓根皮质,其中穿破椎弓根内外皮质21枚,穿破椎弓根上下皮质11枚,置钉准确率84.91%;B组40例共置入224枚,5例6枚螺钉穿破椎弓根皮质,其中穿破椎弓根内外皮质4枚,穿破椎弓根上下皮质2枚,置钉准确率97.33%。两组置钉准确率有统计学差异(P〈0.05)。结论:胸腰椎骨折患者行椎弓根螺钉内固定时应用MSCT三维重建设计钉道的置钉方法较传统置钉方法成功率高。 展开更多
关键词 胸腰椎骨折 椎弓根螺钉 内固定 螺旋ct
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螺旋CT三维重建在复杂颌面骨折的应用 被引量:37
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作者 南欣荣 范亚伟 +1 位作者 李睿 武志峰 《华西口腔医学杂志》 CAS CSCD 北大核心 2001年第6期372-374,共3页
目的 :探讨螺旋CT三维重建对复杂颌面骨折的临床应用价值。方法 :对 2 6例复杂颌面骨折患者行螺旋CT扫描 ,层厚 3mm或 5mm ,应用表面阴影显示法进行三维图像重建 ,用不同的旋转轴观察不同角度骨折的三维病变图像。若怀疑下颌骨骨折时 ,... 目的 :探讨螺旋CT三维重建对复杂颌面骨折的临床应用价值。方法 :对 2 6例复杂颌面骨折患者行螺旋CT扫描 ,层厚 3mm或 5mm ,应用表面阴影显示法进行三维图像重建 ,用不同的旋转轴观察不同角度骨折的三维病变图像。若怀疑下颌骨骨折时 ,应用勾画删除技术对图像进行切割删除处理 ,以便单独显示下颌骨的三维图像。结果 :螺旋CT三维重建能清楚显示复杂颌面骨折的立体解剖图像及与周围结构关系 ;应用勾画删除技术可清楚显示下颌骨骨折部位与移位 ,尤其是髁突骨折移位的方向和程度。结论 :螺旋CT三维重建有利于确定复杂颌面骨折的程度与骨折的移位情况 。 展开更多
关键词 颌面骨折 螺旋扫描 三维ct重建
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