摘要
目的探讨及评价128层螺旋CT在骨盆骨折的诊断及治疗中的临床价值。方法对拥有完整的X线及128层螺旋CT影像资料的25例骨盆骨折患者进行回顾性分析,并在两种影像检查方法间进行比较。结果在25例患者中,X线诊断与最终诊断一致11例(44%),行128层螺旋CT检查补充后确定最终诊断14例(56%)。其在骶骨和髋臼骨折、骶髂关节脱位的诊断中较X线具有明确的优势,能清晰地显示骨折部位、程度,指导临床的诊断和治疗。结论128层螺旋CT检查对骨盆骨折的分类、诊断及治疗具有重要意义,应作为骨盆创伤诊疗中必要的、常规的检查手段。
Objective To investigate and evaluate the clinical value of 128-slices spiral CT in diagnosis and treatment of pelvic fracture. Methods A retrospective analysis including 25 cases of pelvic fractures with plain and 128-slices spiral CT films has been finished. The radiological characteristics and results were compared between with two kinds of radioactive examination. Result Among the 25 cases, diagnosis of 11 cases(44%) by X-ray plain films accorded with final diagnosis, and 128-slices spiral CT corrected and completed 14 cases(56%) that had diagnosis by plain radiographs. 128-slices spiral CT totally demonstrated obvious predominance in detecting fracture of sacrum and acetabulum, and dislocation of sacroiliac joint. It illustrated the positions and degrees of frature distinctly, directing clinical diagnosis and treatment. Conclusion 128-slices spiral CT plays an important role in the classification, diagnosis and treatment of pelvic frature, so that it should be a necessary and routine examination in medical treatment of plelvic trauma.
