肘关节创伤应用螺旋CT三维成像临床效果观察.docVIP

肘关节创伤应用螺旋CT三维成像临床效果观察 李鑫陈里 （四川省什那市人民医院四川什那618400） 【 】目的：分析探讨肘关节创伤应用螺旋CT三维成像临床效果。方法： 选取我院2013年5月?2015年5月收治的50例临床可疑脱位、骨折的肘关节 创伤患者为研究对象，所有患者均进行螺旋CT三维重建以及X线平片检查，对 其图像结果进行分析。结果：经过CT检查以及手术后随访后确诊45例患者有骨 折，一共有58处。17处为橈骨近端骨折,19处为尺骨近端骨折,22处为肱骨下端 骨折。多处骨折在X光平片上无法显示出来。但是在经过螺旋CT三维立体扫描 后，SSD、VR、MPR图像除了能够将骨折块与骨折线较为肓观、立体的显示出来， 并找出受累关节腔内游离的小碎骨外，还能够将25例患者合并有关节周围软组 织肿胀或者关节囊积液清楚的显示出来。结论：应用螺旋CT三维成像对肘关节 创伤患者进行诊断，能够更好的显示患者骨折的部位以及移位的程度，能够很好 的弥补X光平片的不足，为复杂骨折的诊断奠定良好的基础，在临床上值得广泛 推广。 【关键词】肘关节创伤；螺旋CT三维成像；临床效果 【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752 (2016) 07-0042-02 Observation on Clinical Effect of Applying Spiral CT 3D Imaging to Elbow Injury Li Xin, Chen Li. The Peoples Hospital of Shifang City, Sichuan Province, Shifang 618400, China 【Abstract] Objective To an a lyze and explore the clin ical effect of applyi ng spiral CT 3D imaging to elbow injury. Methods 50 cases with elbow injury of clinical suspicious dislocation and fracture treated in our hospital from May 2013 to May 2015 were selected as research objects. All patients received three dimensional recon structio n tech no logy of spiral CT and X ray plain film exami nation. The imagi ng results were analyzed? Results For 50 cases with elbow injury, 45 cases were con firmed as fracture after CT exami nation and the follow-up after operati on, and there were 58 places. There were 13 cases with compo und injuries (in which there were 8 cases with dislocation of elbow joint). There were 17 cases with proximal radius fractures (X ray plain film of three places was suspected as radial head fractures, in which 14 fractures were displayed on X ray plain film. But MPR clearly showed that bone cortex of radial capitulum trailing edge cracked). The capitulum humeral fracture of 1 place was not shown on X ray plain film. 19 places were fracture of proximal ulna, and 12 places were displayed on X ray plain film. 22 places were lower humerus fractures (in which 18 cases were shown on X ray plain film, and there were 3 cases with ankle comminuted fractu