肘关节创伤应用螺旋ct三维成像临床效果观察

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1、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）【摘要】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、

2、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)07-0042-02ObservationonClinicalEffectofApplyingSpiralCT3DImagingtoElbowInjuryLiX

3、in,ChenLi.ThePeople'sHospitalofShifangCity,SichuanProvince,Shifang618400,China【Abstract]ObjectiveToanalyzeandexploretheclinicaleffectofapplyingspiralCT3Dimagingtoelbowinjury.Methods50caseswithelbowinjuryofclinicalsuspiciousdislocationandfracturetreatedinourhospitalfromMay2013toMay2015wereselect

4、edasresearchobjects.AllpatientsreceivedthreedimensionalreconstructiontechnologyofspiralCTandXrayplainfilmexamination.Theimagingresultswereanalyzed・ResultsFor50caseswithelbowinjury,45caseswereconfirmedasfractureafterCTexaminationandthefollow-upafteroperation,andtherewere58places.Therewere13cases

5、withcompoundinjuries(inwhichtherewere8caseswithdislocationofelbowjoint).Therewere17caseswithproximalradiusfractures(Xrayplainfilmofthreeplaceswassuspectedasradialheadfractures,inwhich14fracturesweredisplayedonXrayplainfilm.ButMPRclearlyshowedthatbonecortexofradialcapitulumtrailingedgecracked).T

6、hecapitulumhumeralfractureof1placewasnotshownonXrayplainfilm.19placeswerefractureofproximalulna,and12placesweredisplayedonXrayplainfilm.22placeswerelowerhumerusfractures(inwhich18caseswereshownonXrayplainfilm,andtherewere3caseswithanklecomminutedfracturefor5places,whichcouldn’tshowthedisp

7、lacementdirectionanddegreeofbrokenbones,butthedisplacementdirectionanddegreecouldbeshownclearlyonSSDimageandMPRimage).ConclusionApplyingspiralCT3DimagingtotreatelbowinjurycanmakeupthedisadvantagesofXrayplainfilm,andlaysthegoodfoun