腕关节外伤骨折患者DR与MSCT检查的合理应用  

DR and MSCT Examination Application in Wrist Trauma Fractures Patients

作　　者：周占文[1] 耿昶[1] 

机构地区：[1]辽宁中医药大学附属医院医学影像中心,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2013年第11期238-238,共1页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨腕部外伤患者行X线检查或者CT检查的必要性,以及腕关节X线拍片位置及CT的扫描及重建方式。方法:收集近一年来腕关节外伤骨折患者,已经做腕关节X线DR平片和64排螺旋CT轴位容积扫描腕骨,其中MSCT进行多平面重建或者3D重建40例,分析相应影像表现及诊断。结论:普通X线检查腕关节骨折是初步的而且是必要的检查方法,同时应结合临床外伤史、查体有无压痛、X线平片影像,然后决定是否CT检查,CT扫描尤其是MSCT扫描重建对平片未能明确诊断的腕关节骨折有很大的价值。Objective ： To discuss the necessity of X-ray or CT examination for wrist trauma fractures examination as well as the wrist X-ray and CT scan and reconstruction method. Methods ： Wrist joint trauma patients in nearly a year were collected and have been examined by wrist X-ray DR plain film and the 64 row spiral CT volume for scanning carpal bone, in which MSCT or 3D multiplanar reconstruction in 40 cases. Analysis of the manifestations and diagnosis was carried on. Conclusion ： X-ray examination of the wrist joint fracture is preliminary but inspection method is necessary, at the same time combined with clinical history of trauma, tenderness, X-ray images, and then it can determine whether to use CT. CT scanning, especially MSCT scans on plain fihns fails to make clear diagnosis of wrist fractures has great value.

关 键 词：腕关节外伤骨折 数字化X线机 多层螺旋CT 

分 类 号：R445.4[医药卫生—影像医学与核医学]