#骨髂肌肉影像学#.PDF

2000 5 15 3 Radiol Practice, May 2000, Vol 15, No. 3 73 ## CT 强金伟 吉学生 廖治河 张飚 张新潮 = : 探讨螺旋CT 三维影像( SSD 和MPR) 在骨关节创伤中的应 价值及相关的技术要点: 研究经X 线和螺旋CT 证实的骨关节创伤病例85 例扫描参数: ¹ 3mm 层厚4. 5mm 床速和1~ 2mm 重建间距; º 5mm 层厚5~ 7. 5mm床速和2mm 重建间距; 作SSD 时阈值范围之低值为120~ 180, 观察SSD 和MPR 的窗宽和窗位分别为3000~ 3200 1000~ 1200 和800~ 1000250~ 300: 横断面结合SSD 和MPR 像显示骨折83 例, 脱位或半脱位19 例85 例SSD 像, 图像质量优秀56 例, 良好 19 例, 较差10 例, SSD 像立体地显示了骨折线的长短形态走向, 碎骨片的形态大小空间位 置以及骨折的移位和关节对位状况; 68 例跨关节MPR 像, 图像质量优秀45 例, 良好 14 例, 较差9 例, MPR 像更清晰地显示 关节的受累和关节腔内游离骨片: 螺旋CT 的SSD 和MPR 像能提供骨关节创伤非常有价值的空间关系信息, 其表现 接近病理解剖, 临床应 价值大, 利于临床医师选择治疗方案和制订手术计划 = 螺旋CT 三维成像 骨关节 创伤 The Study on three dimensional imaging of spiral CT in bone and joint trauma Qiang inwei, i Xuesheng, Liao Zhihe, et al. De- partment of Radiology, inshan Hospital, Shanghai Medical University, Shanghai 200540 = Abstract Objective:To study three dimensional imaging ( SSD and MPR) of spiral CT in bone and joint trauma and its pertinent technique. Methods:85 cases of fracture proved by plain radiography, SSD and MPR of spiral CT were studied prospectively. Scanning pa- rameters were as follows: ¹ 3mm collimation, 4. 5mm table speed, and 1mm~ 2mm reconstruction interval. º 5mm collimation, 7. 5mm table speed, and 2mm reconstruction interval.The low value of threshold of SSD was 120~ 180.The width and level of SSD and MPR were 3000~ 3200, 1000~ 1200 and 800~ 1000, 250~ 300, respectively. Results:Transaxial imaging, together with SSD and MPR, demonstrated 83 cases of fracture and 19 cases of dislocation or sem-i dislocation. Among 85 cases of SSD imaging, 56 pictures were excellent, 19 good and 10 inferior .The length, shape and direction of fracture line, the form, size and location of detached bone fragments and dislocation of