X线平片与多排螺旋CT诊断跟骨骨折价值的对比研究  

A comparison between X-ray and MSCT in diagnosing calcaneal fracture

作　　者：嵩崑[1] 于建秀[2] 全勇[1] 王玉芹[1] 孙伟强[2] 

机构地区：[1]山东省威海市文登中心医院影像中心,山东文登264400 [2]山东省文登整骨医院CT室,山东文登264400

出　　处：《医学影像学杂志》2006年第6期612-614,共3页Journal of Medical Imaging

摘　　要：目的:对X线平片、多排(MS)CT横轴位、MSCT三维重建(SSD)、多平面重建(MPR)诊断跟骨骨折价值进行对比性的研究。方法:通过对36例,44侧跟骨骨折患者行跟骨X线、MSCT横轴位扫描、SSD、MPR重建检查,对各种检查的结果进行评价。结果:X线发现26例,30侧跟骨骨折,图像相互重叠,难以清晰显示骨折的情况;MSCT横轴位及MPR、SSD的结合,可以立体、直观、清晰显示跟骨骨折整体情况。结论:X线平片不能满足诊断跟骨骨折的要求;MSCT横轴位、MPR、SSD的结合可以大大提高诊断跟骨骨折的敏感性。Objective： To compare the diagnosis value of X-ray, MSCT axial image, MPR, SSD in diagnosing calcaneal fracture. Methods：36 patients, totally 44 calcaneal fractures underwent the examination of X-lay, MSCT （including axial images and MPR SSD） and the results evaluated. Results：30 cases were shown calcaneal fracture in X-ray but it is difficult to show the details; MSCT axial image, combined with MPR, SSD post-processing technology can display the calcaneal fractures wholly,stereoscopicaUy and accurately, especially the tiny fracture in the deep. Conclusion： MSCT axial image, combined with MPR, SSD can be regarded as golden standard to diagnose the calcaneal fracture and X-ray can＇t meet the clinical needs.

关 键 词：跟骨骨折 体层摄影术 X线计算机 

分 类 号：R683.42[医药卫生—骨科学] R814.42[医药卫生—外科学]