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多层螺旋CT三维重建技术在踝关节骨折诊断和术后评估中的应用价值

朱培杨 周玮 李建有

中国现代医生Issue(30):34-36,39,161,5.
中国现代医生Issue(30):34-36,39,161,5.

多层螺旋CT三维重建技术在踝关节骨折诊断和术后评估中的应用价值

3D dimensional reconstruction of multislice spiral CT value in the diag-nosis of ankle fractures and postoperative evaluation

朱培杨 1周玮 2李建有3

作者信息

  • 1. 浙江省丽水市缙云县人民医院放射科,浙江丽水 321400
  • 2. 浙江省湖州市中心医院放射科,浙江湖州 313000
  • 3. 浙江省湖州市中心医院骨科,浙江湖州 313000
  • 折叠

摘要

Abstract

Objective To investigate the 3D reconstruction of multislice spiral CT technology applications in the diag-nosis and postoperative ankle fracture assessment. Methods DR using X-ray and 3D reconstruction of multislice spiral CT technique in patients with ankle fractures preoperative examination and classification, for review after observing the quality of reduction and fixation into quality. Results Preoperative DR typing results compare with intraoperative find-ings, PAB, PER, SAB SER type Kappa values were 0.76, 0.80, 0.77, 0.75, had a good consistency . Preoperative CT reconstruction with intraoperative findings result of the comparison , PAB, PER, SAB SER type Kappa values were 1, 0.92, 0.90, 0.90, excellent consistency, CT reconstruction typing and intraoperative findings consistent results. The sensitivity and specificity were far superior to DR. DR and CT reconstruction after treatment in PAB, PER, SER type reset mass were significantly different (P<0.05), CT three reconstruction PER, fixed into the SER type mass was signif-icantly different (P<0.05). Conclusion Spiral CT reconstruction of ankle fracture before surgery and postoperative re-duction treatment, quality assessment and internal fixation into a higher accuracy than the X-ray examination, and more reliable.

关键词

体层摄影术/三维重建/X线计算机/踝关节骨折/骨折分型/复位/内固定

Key words

Tomography/3D reconstruction/X-ray computed/Ankle fracture/Fracture type/Reset/Fixation

分类

医药卫生

引用本文复制引用

朱培杨,周玮,李建有..多层螺旋CT三维重建技术在踝关节骨折诊断和术后评估中的应用价值[J].中国现代医生,2014,(30):34-36,39,161,5.

基金项目

浙江省医药卫生科技计划 ()

中国现代医生

1673-9701

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