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64排螺旋CT多平面重建和容积再现图像在面中部复杂骨折中的临床应用
引用本文:杜红文,张蕴,陈燕,赵婷.64排螺旋CT多平面重建和容积再现图像在面中部复杂骨折中的临床应用[J].临床耳鼻咽喉头颈外科杂志,2009,23(4):160-162.
作者姓名:杜红文  张蕴  陈燕  赵婷
作者单位:西安交通大学医学院第一附属医院医学影像科,西安,710061
摘    要:目的:探讨64排螺旋CT多平面重建(MPR)及容积再现(VR)图像在面中部复杂骨折中的临床应用价值。方法:对46例面中部复杂骨折患者进行64排螺旋CT薄层扫描,容积数据传送到工作站进行MPR和VR三维成像。结果:46例面中部366处骨折,MPR图像对面中部各部位骨折的显示率为100%;VR图像对颧骨、颧弓、下颌骨骨折的显示率为100%,对上颌骨骨折的显示率为94.3%、眼眶骨折为93.2%、筛骨骨折为13.0%、蝶骨骨折为55.6%,平均显示率为86.3%。VR图像能够通过图像旋转、切割等功能从不同方向观察骨折的位置、范围、骨碎块的移位,了解骨折线的走行及外伤所致的畸形情况。结论:MPR结合VR成像对面中部骨折的诊断治疗具有很高的临床应用价值。64排螺旋CT图像能提高对深部纲微骨折的显示.

关 键 词:面中部骨折  64排螺旋CT  多平面重建  容积再现

Clinical application of multiplanar reconstruction and volume rendering with 64-slice spiral CT in the complex midfacial fracture
DU Hongwen,ZHANG Yun,CHEN Yan,ZHAO Ting.Clinical application of multiplanar reconstruction and volume rendering with 64-slice spiral CT in the complex midfacial fracture[J].Journal of Clinical Otorhinolaryngology,2009,23(4):160-162.
Authors:DU Hongwen  ZHANG Yun  CHEN Yan  ZHAO Ting
Institution:Department of Radiology;the First Affiliated Hospital of Medical College of Xi'an Jiaotong University;Xi'an;710061;China
Abstract:Objective:To evaluate the value of clinical application of multiplanar reconstruction (MPR) and volume rendering (VR) with 64-slice spiral CT in the complex midfacial fracture.Method:Forty-six patients with the complex midfacial fracture were examined with 64-slice spiral CT, then MPR and VR were performed in work station.Result:Of 46 patients, there are 366 fractures. MPR imaging clearly showed all(the rate were 100%). VR imaging could show all zygomatic fracture and mandidular fracture(the rate were 100%)...
Keywords:the complex midfacial fracture  64-slice spiral CT  multiplanar reconstruction  volume rendering  
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