64层螺旋CT三维成像在四肢骨关节创伤中的应用.docVIP

64层螺旋CT三维成像在四肢骨关节创伤中的应用 　　[摘要] 目的 探讨64层螺旋CT三维重建技术在四肢骨关节创伤中的临床应用价值。 方法 选取2010年8月～2014年1月共159例四肢骨关节外伤患者的三维成像影像学资料进行回顾性分析，均使用飞利浦64层螺旋CT扫描，行螺旋CT扫描后薄层重建，利用多平面重建（MPR）、曲面重建（CPR）、三维容积重建（VR）进行图像后处理进行观察。 结果 三维图像（MPR、CPR、VR图像）后处理技术对关节脱位、骨折、骨折合并脱位显示清晰，并能清晰显示骨折的部位、类型及骨折错位、碎骨片等空间关系；图像准确无误、具体、细微丰富，具有重要的临床应用价值。结论 几种重建方法的结合应用，参考CT的原始横断图像进行综合分析，不仅提高了对骨关节的诊断准确率，而且为临床预测手术可能性、制定手术方案、术式、评估手术效果提供了重要的临床应用价值。 　　[关键词] 螺旋CT；重建技术；三维成像；骨关节创伤 　　[中图分类号] R816.8 [文献标识码] B [文章编号] 1673-9701（2015）25-0083-02 　　Application of 64-slice spiral CT three-dimensional imaging in limb bone joint trauma 　　GONG Jiashun TAO Yuxian YANG Yaoming PU Yunxia ZHANG Yu 　　CT/MRI Room， Luxi People’s Hospital in Yunnan Province， Luxi 652499， China 　　[Abstract] Objective To investigate the clinical application value of 64-slice spiral CT three-dimensional imaging techniques in the limb bone joint trauma. Methods The three-dimensional imaging data of 159 patients with limb bone joint trauma from August 2010 to January 2014 were selected and analyzed retrospectively. All the patients were given Philips 64-slice spiral CT scanning and thin slice reconstruction after the spiral CT scanning. Multi-planar reconstruction（MPR），curved planar reconstruction（CPR） and three-dimensional volume reconstruction（VR） were used for image postprocessing. Results Three-dimensional imaging（MPR，CPR and VR iamges） postprocessing techniques were able to show joint dislocation， fracture and fracture combined with dislocation clearly and were able to display the location and types of fractures and the spatial relationship such as fracture dislocation and bone chips. The images were accurate， specific and subtle， which were of important clinical application value. Conclusion It suggest that the combined application of several reconstruction methods and the comprehensive analysis referring to original traverse images of CT not only can improve the diagnosis accuracy rate for bone joint， but also provide important clinical application value f