摘要
目的探讨多层CT重建在复杂的髋臼骨折诊断治疗中的应用价值。方法对18例接受手术治疗的髋臼骨折患者的临床资料进行分析。其中男13例,女5例;平均年龄33岁(20～47岁)。术前应用多层螺旋CT对18例进行容积扫描,原始数据处理和三维重建,对普通X线片与结合CT扫描的依据Judet-Letournal分类法进行诊断分型,并对结果进行比较分析。结果18例中复杂骨折15例,其中二柱三壁骨折7例,前柱三壁骨折4例,后柱三壁骨折4例;单纯骨折3例,均为单壁或者横断骨折。3例合并有股骨头软骨撕脱骨折普通X线片没有发现。结论多层CT扫描重建为髋臼骨折的诊断、分型和治疗方法的选择提供直观的影像依据。
Objective To discuss the clinical significance of three-dimensional （3D）CT reconstruction in the operative treatment of acetabulum fractures. Methods 18 fractures with acetabulum fractures were treated in our department. Their clinical data were studied retrospectively. There were 13 males and 5 females. Their average age was 33 years with a span from 20 to 47 years. They all underwent radiography and CT scan. Their X-ray films and CT scans were both examined to lind their fracture type according to the Judet-Letournal＇s classification system. Results Among them,7 cases of both column and three wall fracture, 4 cases of anterior column and three wall fracture,4 cases of posterior column and three wall fracture,3 cases of simple fracture,two cases of them gristle fracture of femal head. Conclusion 3D CT reconstruction has very special significance in directing the operative treatment of acetabulum fracture.
出处
《中外医疗》
2008年第28期3-4,共2页
China & Foreign Medical Treatment
