16排螺旋CT薄层扫描骨盆骨折诊断应用  

作　　者：王涛[1] 李世军[2] 

机构地区：[1]四川省第四人民医院放射科,四川成都610016 [2]四川省医学科学院、四川省人民医院创伤外科,四川成都610101

出　　处：《检验医学》2016年第B09期125-126,共2页Laboratory Medicine

摘　　要：目的探讨16排计算机断层螺旋CT薄层扫描及后处理三维重建骨盆骨折中的临床诊断应用价值。方法对71例确诊骨盆骨折，同时行X线DR平片及16排螺旋CT薄层扫描检查及三维重建、多平面重建（MPR）进行回顾性分析。结果CT相对X线DR平片在发现隐匿性骨折、微小骨折、横行骨折有优势，明显提高骨盆骨折发现率，对骨折分离准确定位，对手术有指导意义。结论16排螺旋CT薄层扫描及三位重建对骨盆骨折的诊断优于X线DR平片，明显提高不同类型骨盆骨折检出、明确骨片分离定位，为临床制定治疗方案提供重要参考。Objective to study 16 row helical CT thin layer scanning and three-dimensional reconstruction in the emergency depart ment of the clinical application value of pelvic fractures. Methods 71cases of pelvic fractures diagnosis, at the same time line X-ray DR plain radiographs and 16 row helical CT thin layer scanning and three-dimensional reconstruction, multiplanar reconstruction （MPR） were retrospectively analyzed. Results CT can relatively plain X-ray DR discovery hidden fracture, tiny fractures and fracture, significantly increase the rate of pelvic fractures found, for fracture separation of accurate positioning, a guidance for operation. Conclusion 16 row helical CT three thin layer scanning and reconstruction in the diagnosis of pelvic fractures is superior to X ray DR plain film, obviously increase the detected with different types of pelvic fractures, bone separation clearly positioning, has provided a very important reference for clinical treatment.

关 键 词：骨盆骨折 计算机断层扫描 多排 三维重建 

分 类 号：R816.8[医药卫生—放射医学]