16层螺旋CT多平面重组容积重建在跟骨骨折中应用价值.docVIP

16层螺旋CT多平面重组、容积重建在跟骨骨折中的应用价值 　　[摘要] 目的 探讨分析16层螺旋CT多平面重组（MPR）、容积重建（VR）在跟骨骨折中的诊断价值。方法 将该院2011―2014年期间，经16层螺旋CT薄层扫描并进行MPR、VR图像后处理的37例（63足）跟骨骨折病例，结合X线照片，对其影像学资料，进行回顾性分析，比较两者的诊断准确率。 结果 37例（63足）跟骨骨折中，16层螺旋CT MPR及VR全部显示，X线漏诊1例。 结论 16层螺旋CT MPR及VR图像在诊断跟骨骨折方面具有独特的优势，能全面、直观和立体地显示跟骨骨折，弥补了X线照片不足，提高跟骨骨折病变的诊断准确率和制定手术方案的设计提供准确的空间立体定位依据。 　　[关键词] 跟骨骨折；螺旋CT；多平面重组（MPR）；容积重建（VR） 　　[中图分类号] R816.8 [文献标识码] A [文章编号] 1674-0742（2014）10（b）-0033-03 　　Application Value of 16 Layers Spiral CT Multiplanar Restruction and Volume Reconstruction in the Diagnosis of Calcaneal Fractures 　　LIN Jiajian SHANG Laihuan LI Jiefei HE Xiaobing 　　Department of Radiology， Guangdong Foshan Nanhai Ninth Peoples Hospital， Foshan， Guangdong Province， 528203， China 　　[Abstract] Objective To explore and analyze the value of 16 layers spiral CT multiplanar reconstruction （MPR） and volume reconstruction （VR） in the diagnosis of calcaneal fractures. Methods The imaging data of 37 cases（63 feet） with calcaneal fractures admitted in our hospital in the recent three years （2011 to 2014） were analyzed retrospectively， including 16 layers spiral CT thin layer scanning and MPR and VR image post-processing and X-ray films， and the diagnostic accuracy was compared. Results All the 37 cases （63 feet） with calcaneal fractures were correctly diagnosed by 16 layers spiral CT MPR and VR， while diagnosed by X-ray， missed diagnosis in 1 case. Conclusion 16 layers spiral CT MPR and VR images have a unique advantage in the diagnosis of calcaneal fractures， which can display the calcaneal fractures comprehensively， intuitively and three-dimensionally thereby making up the shortcoming of X-ray image， improving the diagnosis accuracy of calcaneal fractures， providing an accurate spatial positioning basis for the design of operation scheme. 　　[Key words] Calcaneal fractures； Spiral CT； Multiplanar reconstruction （MPR）； Volume reconstruction （VR） 　　跟骨骨折是临床上较为常见的骨折，占全体骨折的2%，跗骨骨折占60%，致残率高达20%～30%。跟骨骨折85%～90%为跟骨关节内骨折[1]。患者如果跟骨骨折累及距下关节则