对比螺旋CT与DR平片在髋臼骨折诊断中应用价值.docVIP

对比螺旋CT与DR平片在髋臼骨折诊断中应用价值 　　【摘要】 目的 对比螺旋CT与DR平片在髋臼骨折诊断中的应用价值。方法 58例髋臼骨折患者作为研究对象。所有患者均经手术证实为髋臼骨折， 术前行螺旋CT与DR摄影， 其中螺旋CT采用多平面重建（MPR）、三维表面重建（SSD）、容积重建（VR）等三维重建技术进行图像后处理， 对比两种检查方案的诊断结果。结果 CT确诊髋臼骨折55例， 高疑骨折3例， DR确诊骨折42例， 高疑8例， 无骨折8例， 两组确诊结果比较， 差异有统计学意义（P0.05）；CT诊断准确率更高。结论 螺旋CT三维重建技术具有扫描快速、成像清晰的特点， 在髋臼骨折诊断中具有重要的应用价值， 较常规DR平片具有更高的确诊率， 同时可有效评估患者骨折病情， 为手术治疗方案提供指导。 　　【关键词】 CT；DR平片；髋臼骨折；诊断 　　DOI：10.14163/j.cnki.11-5547/r.2015.18.040 　　Comparison of application value between spiral CT and DR plain film in diagnosis of acetabulum fracture LIU Jin-quan， WEN Hai-zhong， CUI Ling， et al. Department of Radiology， Guangdong Yunfu City People’s Hospital， Yunfu 527300， China 　　【Abstract】 Objective To compare the application value between spiral CT and DR plain film in diagnosis of acetabulum fracture. Methods There were 58 patients with acetabulum fracture as study subjects， and they were all diagnosed by operation. They received spiral CT and DR filming before operation. 3D reconstruction by multiple planar reconstruction （MPR）， surface shading display （SSD）， and volume reconstruction （VR） were applied for image postprocessing in spiral CT. Diagnosis results of the two examination methods were compared. Results CT showed 55 diagnosed acetabulum fracture cases and 3 highly suspected fracture cases. DR showed 42 diagnosed fracture cases， 8 highly suspected cases， and 8 cases without fracture. The difference between diagnosis results of the two groups had statistical significance （P0.05）. CT provided more accuracy in diagnosis. Conclusion Spiral CT 3D reconstruction method has advantages of quick scanning and clear imaging， and it contains important application value in diagnosis of acetabulum fracture. It provides higher diagnosis rate than common DR plain film with effective assessment of fracture condition， and it can provide guideance for operation scheme. 　　【Key words】 CT； DR plain film； Acetabulum fracture； Diagnosis 　　髋臼是人体下肢最重要的关节之一， 但由于在日常生活中髋关节负重较大并且活动度大而频繁， 造成髋臼骨折发生率较高， 患者