摘要
目的:探讨64排CT三维重建技术在股骨粗隆间骨折中的临床应用价值。方法:选取2012年7月-2013年12月笔者所在医院收治的经X线片证实为单侧粗隆间骨折的80例患者,对其进行X线片、64排CT扫描,记录X线片、64排CT扫描结果,对其股骨粗隆间骨折块数、骨折骨皮质连续性及骨折端稳定性评估进行统计。结果:股骨粗隆间骨折块数方面,64排CT扫描与术中结果比较差异无统计学意义(t=0.16,P>0.05),与X线片比较差异有统计学意义(t=6.63,P<0.05)。骨折骨皮质连续性方面,64排CT与X线片比较差异有统计学意义(字2=13.64,P<0.05);骨折端稳定性评估结果方面,64排CT与X线片比较差异有统计学意义(字2=26.97,P<0.05)。结论:64排CT三维重建能够更准确显示股骨粗隆间骨折的解剖学变化,更能确切的体现出骨折部位的真实情况及稳定性、骨折块的数量。对选择正确的治疗方法和内固定方式有重要的临床应用价值。
Objective： Investigate the clinical value of 64-slice CT three-dimensional reconstruction technique in intertrochanteric fracture classification. Method： From July 2012 to December 2013 in author＇s hospital were treated by X-ray confirmed unilateral intertrochanteric fractures of 80 patients, X-ray, CT scan on the 64 row, 64 row recording X-ray, CT scan, the cortical fracture stability evaluation andstatistics, the number of femur fracture intertrochanteric fracture.Result： The number of intertrochanteric fracture of femur, 64 slice CT scan and intraoperative results had no significant difference（t=0.16, P〉0.05）, compared with X-ray statistical（t=6.63, P〈0.05）.Bonecortical continuity, there was statistical significance of 64 slice CT and X-ray difference（x^2=13.64, P〈0.05）; fracture stability assessment results, with statistical significance of 64 slice CT and X-ray difference（x^2=26.97, P〈0.05）.Conclusion： 64-slice CT three-dimensional reconstruction technique can more accurately display anatomical changes intertrochanteric fracture, more exactly reflect the real situation and the stability of the fracture site, fracture of the number of blocks, has important clinical value to select the correct treatment methods and internal fixation.
出处
《中外医学研究》
2014年第23期50-51,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
64排CT
三维重建
股骨粗隆间骨折
64-slice CT
Three-dimensional reconstruction
Intertrochanteric
