螺旋CT及三维重建技术诊断颌面部骨折的价值观察  

Value of Spiral CT and Three-dimensional Reconstruction Technology in Diagnosing Maxillofacial Fractures

作　　者：赵媛 林楠 钟克涛 叶克强 ZHAO Yuan;LIN Nan;ZHONG Ke-tao;YE Ke-qiang(Department of Oral and Maxillofacial Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学附属郑州中心医院(郑州市中心医院)口腔颌面外科,河南郑州450000

出　　处：《中国CT和MRI杂志》2025年第2期181-183,共3页Chinese Journal of CT and MRI

基　　金：河南省医学科技攻关计划项目(LHGJ20220871)。

摘　　要：目的探究螺旋CT及三维重建技术诊断颌面部骨折的价值观察。方法回顾性分析2021年6月至2023年12月收治的109例疑似颌面部骨折患者的临床资料。将手术检查结果作为诊断“金标准”,统计分析螺旋CT及三维重建技术诊断颌面部骨折以及骨折部位的检出率及诊断效能。结果手术检查结果显示,此次109例疑似颌面部骨折患者中确诊患者89例;以手术检查结果为“金标准”,CT平扫常规轴位阅片以及螺旋CT三维重建技术诊断颌面部骨折的Kappa值分别为0.528、0.730;经手术结果发现,89例确诊患者,单发骨折42例,多发骨折47例,共有201处骨折,其中下颌骨骨折、上颌骨骨折、颧骨骨折最为常见,螺旋CT三维重建技术对于骨折部位的检出率为92.54(186/201),CT平扫常规轴位阅片的检出率为82.09(165/201)。结论螺旋CT及三维重建技术对颌面部骨折的诊断及治疗有较高的指导意义,术前应用三维重建值得临床推广。Objective To explore the value of spiral CT and three-dimensional reconstruction technology in the diagnosis of maxillofacial fractures.Methods The clinical data of 109 patients with suspected maxillofacial fractures admitted from June 2021 to December 2023 were retrospectively analyzed.The surgical examination result was used as the gold standard for diagnosis,and the detection rate and diagnostic efficiency of spiral CT and three-dimensional reconstruction technology in the diagnosis of maxillofacial fractures and fracture sites were statistically analyzed.Results Surgical examination showed that 89 cases were confirmed among the 109 patients with suspected maxillofacial fractures.With surgical examination result as the gold standard,the Kappa values of conventional CT plain scan and spiral CT three-dimensional reconstruction in diagnosing maxillofacial fractures were 0.528 and 0.730 respectively.The surgical results found that among the 89 confirmed patients,there were 42 cases of single fractures and 47 cases of multiple fractures,with a total of 201 fractures,among which mandibular fractures,maxillary fractures and cheekbone fractures were the most common.The detection rate of spiral CT three-dimensional reconstruction technology for fracture sites was 92.54%(186/201),and the detection rate of conventional axial reading of CT plain scan was 82.09%(165/201).Conclusion Spiral CT and three-dimensional reconstruction technology can have high guiding significance for the diagnosis and treatment of maxillofacial fractures.Preoperative application of three-dimensional reconstruction is worthy of clinical promotion.

关 键 词：颌面部骨折 螺旋CT 三维重建技术 诊断效能 

分 类 号：R683[医药卫生—骨科学]