三维CT重建影像技术评估胫骨平台骨折分型的价值研究  

A Study on the Value of Three-dimensional CT Reconstructive Imaging Technique in Evaluating Tibial Plateau Frac- ture Typing

作　　者：陈冉 Chen Ran(Department of Orthopedics,Anhui Medical University Lu'an Hospital,Lu'an 237000,Anhui Province,China)

机构地区：[1]安徽医科大学附属六安医院骨科,安徽六安237000

出　　处：《中外医药研究》2024年第10期130-132,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析三维CT重建在胫骨平台骨折分型诊断中的应用价值.方法:选取2021年7月—2023年6月安徽医科大学附属六安医院收治的胫骨平台骨折患者60例为研究对象,先后进行X线、三维CT重建检查,并与手术检查结果进行比较,分析X线与三维CT重建对骨折分型的检出率、骨折端塌陷程度灵敏度,以及胫骨平台骨折的影像特征.结果:三维CT重建对胫骨平台骨折分型的检出率高于X线,差异有统计学意义(P=0.028);三维CT重建对评估骨折端塌陷程度的灵敏度高于X线,差异有统计学意义(P=0.013).结论:针对胫骨平台骨折患者进行三维CT重建,能提高骨折分型诊断检出率及诊断骨折端塌陷程度灵敏度,为后续治疗提供科学依据,具有推广价值.Objective:To analyze the application value of three-dimensional CT reconstruction in the diagnosis of tibial plateau fracture typing.Methods:Sixty patients with tibial plateau fractures admitted to Anhui Medical University Lu'an Hospital from July 2021 to June 2023 were selected for the study.X-ray and three-dimensional CT reconstruction were performed successively and compared with the results of surgical examination to analyze the detection rate of fracture typing,the sensitivity of the degree of fracture end collapse,and the imaging characteristics of tibial plateau fractures by X-ray and three-dimensional CT reconstruction.Results:The detection rate of three-dimensional CT reconstruction for fracture typing of the tibial plateau was higher than that of X-ray,and the difference was statistically significant(P=0.028);the sensitivity of three-dimensional CT reconstruction for evaluating the degree of fracture end collapse was higher than that of X-ray,and the difference was statistically significant(P=0.013).Conclusion:Three-dimensional CT reconstruction of tibial plateau fractures can improve the detection rate of fracture typing and the sensitivity of diagnosing the degree of collapse of the fracture end,and provide a scientific basis for the subsequent treatment,which has the value of popularization.

关 键 词：胫骨平台骨折 三维CT重建 分型诊断 准确率 

分 类 号：R683[医药卫生—骨科学] R816.8[医药卫生—外科学]