基于CT三维重建技术绘制骨折地图的临床应用进展

CT三维重建技术已经广泛应用于骨折诊断及其分型。基于CT三维重建的骨折地图绘制技术,通过绘制骨折模型来直观展现骨折线的形态学,包括骨折线的起止、走行、骨折面积等。骨折地图绘制技术为骨折诊断、骨折分型、治疗方案选择、手术内固定物设计、骨折好发部位统计、骨折标准化模型制定均提供了一个全新的方法。本文将回顾目前国内外包括对于肩胛骨骨折、胫骨远端骨折、尺骨冠状突骨折、胫骨平台骨折、桡骨小头骨折、股骨转子间外侧壁骨折、髋臼四边体骨折等骨折地图的研究进展,归纳总结了以上各个骨折模型的骨折好发部位及骨折地图绘制技术在骨折分型等方面的应用,并探讨骨折地图的临床应用前景及骨折地图绘制技术存在的问题等。

Progress in clinical application of fracture mapping based on CT three-dimensional reconstruction

CT three-dimensional reconstruction has been widely used in the diagnosis and classification of fractures.Fracture mapping based on the CT three-dimensional reconstruction can visually display the morphology of fracture lines by drawing a fracture model,showing the starting and ending points,progress and area of the fracture lines.It provides a new method for diagnosis and classification of fractures,operative plan and design of implants for fractures,statistic analyses of predominant fracture sites,and developing standardized fracture models.This review gives a brief introduction of the research progress at home and abroad in fracture mapping for scapular fracture,pilon fracture,ulnar coronoid fracture,tibial plateau fracture,radial head fracture,intertrochanteric lateral wall fracture and acetabular quadrilateral surface fracture,summarizes the likely sites in the above fracture models and clinical application of fracture mapping in fracture classification,and discusses the prospects and problems of this technique in clinical application.