MSCT后处理技术在颌面骨折诊断中的应用价值  

Application Value of MSCT Post-processing Technique in Diagnosing Maxillofacial Fractures

作　　者：申娟 陈延霞 拓瑞 SHEN Juan;CHEN Yan-xia;Tuo Rui(Department of Radiology,Yanan University Affiliated Hospital,Yan'an 716000,Shaanxi Province,China;Department of Oral and Maxillofacial Surgery,Yanan University Affiliated Hospital,Yan'an 716000,Shaanxi Province,China)

机构地区：[1]延安大学附属医院放射科 [2]延安大学附属医院口腔颌面外科,陕西延安716000

出　　处：《中国CT和MRI杂志》2024年第11期171-173,共3页Chinese Journal of CT and MRI

摘　　要：目的分析多层螺旋CT(MSCT)后处理技术在颌面骨折诊断中的应用价值。方法回顾性分析2021年6月~2023年6月收治的80例颌面骨折患者的临床资料,患者在治疗前均进行MSCT检查,以手术结果作为“金标准”,分析MSCT平扫与MSCT后处理技术两种处理结果的优缺点。结果80例颌面部骨折诊断结果显示,患者中多发性骨折68例,单发性骨折12例,其中患者多见上下颌骨骨折,眉骨、蝶骨骨折相对少见。MSCT平扫诊断出多发性骨折55例,单发性骨折25例;MSCT后处理诊断出多发性骨折66例,单发性骨折14例,MSCT平扫的多发性骨折检出率低于MSCT后处理技术后的多发性骨折检出率(χ^(2)=4.103,P=0.043);MSCT平扫的总骨折检出率低于MSCT后处理技术后的颌面部总骨折检出率(P<0.05)。结论MSCT后处理技术能有效提升对颌面骨折的诊断价值,对多发性骨折及骨折部位的诊断率高于平扫。Objective To analyze the application value of multi-slice spiral CT(MSCT)post-processing technique in the diagnosis of maxillofacial fractures.Methods The clinical data of 80 patients with maxillofacial fractures admitted from June 2021 to June 2023 were retrospectively analyzed.All patients underwent MSCT examination before treatment.The surgical result was used as the gold standard to analyze the advantages and disadvantages of MSCT plain scan and MSCT post-processing technique.Results The diagnosis results of 80 cases of maxillofacial fractures showed that there were 68 cases of multiple fractures and 12 cases of single fractures.Maxillary and mandibular fractures were more common,and eyebrow and sphenoid fractures were relatively rare.MSCT plain scan diagnosed 55 cases of multiple fractures and 25 cases of single fractures,and MSCT post-processing diagnosed 66 cases of multiple fractures and 14 cases of single fractures.The detection rate of multiple fractures in MSCT plain scan was lower than that in MSCT postprocessing technique(χ^(2)=4.103,P=0.043).The detection rate of total fracture in MSCT plain scan was lower than that in MSCT post-processing technique(P<0.05).Conclusion MSCT post-processing technique can effectively improve the diagnostic value of maxillofacial fractures,and the diagnostic rates of multiple fractures and fracture sites are higher than those of plain scan.

关 键 词：多层螺旋CT 后处理技术 颌面骨折 三维重建 

分 类 号：R683[医药卫生—骨科学]