64排CT三维重建技术在膝关节骨折诊疗中的应用价值

目的分析64排螺旋CT三维重建技术应用于膝关节骨折诊疗中的价值。方法选择50例膝关节骨折患者,按照检查手段分为对照组25例行X线检查;观察组25例,行64排螺旋CT检查,分析比较两组的诊断结果。结果两组均检出腓骨小头骨折、胫骨上段骨折、股骨下段骨折、髌骨骨折等骨折情况,观察组检出率为100%,对照组为76%,结果提示64排CT三维重建技术诊断检出率高于对照组,且更全面清晰显示出膝关节骨折的碎骨数量、位置、走形方向、脱位、骨折片移位等情况,更具诊断价值。两组比较差异有统计学意义(P<0.05)。结论64排螺旋CT三维重建技术用于膝关节骨折的诊断中,能全方位清晰显示骨折情况,骨折定位准确性高,为临床诊治提供有利的影像学依据,具有很高的诊断价值。

Application Value of 64-slice CT Three-dimensional Reconstruction Technology in Diagnosis and Treatment of Knee Joint Fracture

Objective To analyze the application value of 64-slice spiral CT three-dimensional reconstruction technology in the diagnosis and treatment of knee joint fracture.Methods Fifty patients with knee joint fracture were selected and divided into two groups according to the means of examination.Twenty-five patients in the control group were examined by X-ray and 25 patients in the observation group were examined by 64-slice spiral CT.The diagnostic results of the two groups were analyzed and compared.Results Fractures of fibular capitulum,upper tibia,lower femur and patella were detected in both groups.The detection rate of observation group was 100%and that of the control group was 76%.The results showed that the detection rate of 64-slice CT three-dimensional reconstruction was higher than that of the control group.The number,location,placement,alignment,dislocation and displacement of fracture fragments of broken bones were clearly and comprehensively displayed,which indicates that the 64-slice CT three-dimensional reconstruction technology has more diagnostic value than X-Ray.There was significant difference between the two groups(P<0.05).Conclusion 64-slice spiral CT three-dimensional reconstruction technology can clearly display the fracture situation in all directions with high accuracy of fracture location.It provides favorable imaging basis for clinical diagnosis and treatment,and possess high diagnostic value.