MSCT三维重建技术在颅底骨折精准诊断中的临床应用观察  

Clinical Application Observation of MSCT Three-dimensional Reconstruction Technique in Precision Diagnosis of Skull Base Fracture

作　　者：李欢 刘筠 周万宝 丁晓群[3] LI Huan;LIU Yun;ZHOU Wanbao;DING Xiaoqun(Department of Imaging,Ji’an Central People's Hospital,Ji’an 343000,China;不详)

机构地区：[1]吉安市中心人民医院影像科,江西吉安343000 [2]吉安市中心人民医院心胸外科,江西吉安343000 [3]吉安市中心人民医院麻醉科,江西吉安343000

出　　处：《中国医学创新》2024年第30期135-138,共4页Medical Innovation of China

基　　金：吉安市科技计划项目(20233-043399)。

摘　　要：目的:探讨多层螺旋计算机断层扫描(MSCT)三维重建技术在颅底骨折(SBF)精准诊断中的临床应用。方法:回顾性选取2018年6月—2023年6月在吉安市中心人民医院就诊的106例SBF患者的临床资料。所有患者均行MSCT平扫和MSCT三维重建技术检查。以手术检查结果为金标准,比较不同检查方法对不同位置和不同损伤程度SBF的诊断符合率。结果:MSCT三维重建技术诊断不同位置SBF的符合率为90.57%,高于MSCT平扫的61.32%,差异有统计学意义(P<0.05)。MSCT三维重建技术诊断不同损伤程度SBF的符合率为93.40%,高于MSCT平扫的55.66%,差异有统计学意义(P<0.05)。结论:相比MSCT平扫,MSCT三维重建技术在SBF诊断中的应用价值更高,可以明确SBF的位置和损伤程度。Objective:To explore the clinical application of multi-slice spiral computed tomography(MSCT)three-dimensional reconstruction technique in precision diagnosis of skull base fracture(SBF).Method:The clinical data of 106 patients with SBF treated in Ji’an Central People's Hospital from June 2018 to June 2023 were retrospectively selected.All patients were examined by MSCT plain scan and MSCT three-dimensional reconstruction technique.The surgical examination result as the gold standard,and the diagnostic coincidence rate of different examination methods for SBF with different locations and different damage injury degrees was compared.Result:The coincidence rate of MSCT three-dimensional reconstruction technique in diagnosing SBF with different locations was 90.57%,higher than 61.32%of MSCT plain scan,the difference was statistically significant(P<0.05).The coincidence rate of MSCT three-dimensional reconstruction technique in the diagnosis of SBF with different damage degrees was 93.40%,which was higher than 55.66%of MSCT plain scan,the difference was statistically significant(P<0.05).Conclusion:Compared with MSCT plain scan,MSCT three-dimensional reconstruction technique has a higher application value in the diagnosis of SBF,which can determine the location and damage degree of SBF.

关 键 词：多层螺旋计算机断层扫描 三维重建技术 颅底骨折 

分 类 号：R683.5[医药卫生—骨科学] R816[医药卫生—外科学]