三维CT重建影像在跟骨骨折诊疗中的临床应用  

The clinical application of 3D CT reconstruction imaging in the diagnosis and treatment of calcaneal fractures.

作　　者：卢华定[1] 李全喜[1] 赵慧清[1] 姚辉[1] 

机构地区：[1]广东省广州市中山大学附属第三医院骨科,510630

出　　处：《中国实用医药》2013年第27期25-26,共2页China Practical Medicine

摘　　要：目的探讨三维CT重建影像在跟骨骨折诊断和治疗中的临床应用价值。方法收集42例跟骨骨折患者的X线平片、CT扫描和三维CT重建影像检查资料,对照术中所见,分析、比较三维CT重建影像在临床诊断和治疗中的应用价值。结果 X线平片与三维CT重建影像在确立诊断方面未见明显差异,但在分型和指导手术方面三维CT重建影像则明显优于前者。结论三维CT重建影像能直观、立体地显示跟骨骨折的形态,有助于骨折的分型诊断及制订术前计划。Objective To investigate the clinical value of 3D CT reconstruction imaging in the diagnosis and treatment of calcaneal fractures. Methods The data of 42 cases of calcaneal fractures patients’X-ray, CT scan and three-dimensional CT reconstruction imaging were collected; then compare with intraoperative findings; so as to analysis and compare the application value of three-dimensional CT reconstruction imaging in the clinical diagnosis and treatment. Result The results of X-ray and 3D CT reconstruction imaging in establishing the diagnosis did not show significant differences, but in aspect of typing calcaneal fractures and guide the surgical plan, three-dimensional CT reconstruction imaging is significantly better than the former. Conclusion Threedimensional CT reconstruction imaging can intuitive, three-dimensional display of the calcaneal’s fracture’ morphology, which helps determine calcaneal fracture type and draw up preoperative planning.

关 键 词：跟骨骨折 诊断 成像 三维 螺旋CT 

分 类 号：R687.3[医药卫生—骨科学]