摘要
目的:探讨高分辨CT在蝶骨骨折诊断中的应用价值。方法:回顾性分析我院头面部外伤高分辨CT检查346例,详细观察蝶骨受损情况。结果:蝶骨骨折86例,发生率为24.9%,明显高于颞骨骨折,其中蝶骨大翼骨折81例(占94%),蝶骨体部骨折66例(占76.7%),蝶骨小翼骨折49例(占56.9%),蝶骨翼突骨折19例(占22.1%),2个以上部位的多处骨折81例,占94.1%;合并头面部其它部位骨折79例,占91.1%。结论:水平位和冠状位结合高分辨CT可准确及时发现蝶骨骨折及其部位,蝶骨骨折多为多部位骨折,头面部外伤合并蝶骨骨折提示病情复杂。
Objective: To explore the effect of HRCT in the diagnosis of sphenoid bone fracture in facial trauma. Methods: HRCT images of 346 facial trauma patients were analyzed retrospectively. Results: Eighty-six patients were found with sphenoid bone fracture. Among them, there were 81 cases (94%) with greater wing fracture, 66 cases (76.7%) with sphenoid bone body fracture, 49 cases(56.9%) with lesser wing fracture, 19 cases(22.1%) with sphenoid bone process fracture; 81 cases (94.1%) had multiple fractures and 79 cases (91.1%) associated with other facial bone fractures. Conclusion: The sphenoid bone fracture can be detected clearly by axial and coronal scan of HRCT. Most sphenoid bone fractures are multiple. Sphenoid bone fracture always suggests a complex trauma.
出处
《中国临床医学影像杂志》
CAS
北大核心
2007年第2期133-135,共3页
Journal of China Clinic Medical Imaging