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多层螺旋CT联合后处理重建技术诊断创伤性胸骨骨折36例

陶海慧 吴茂铸 毛小明 徐昌茶

中国现代医生Issue(14):109-112,4.
中国现代医生Issue(14):109-112,4.

多层螺旋CT联合后处理重建技术诊断创伤性胸骨骨折36例

Multi-slice CT and post-processing techniques in the diagnosis of 36 cases with sternal fractures

陶海慧 1吴茂铸 2毛小明 3徐昌茶1

作者信息

  • 1. 浙江省台州市路桥中医院放射科,浙江台州 318050
  • 2. 浙江省台州医院路桥院区放射科,浙江台州 318050
  • 3. 浙江省绍兴市中医院放射科,浙江绍兴 312000
  • 折叠

摘要

Abstract

Objective To evaluate the value of multi-slice CT (MSCT) and post-processing techniques in the diagnosis of sternal fractures. Methods MSCT volumetric scanning was performed in 36 patients with sternal fractures, multi-pla-nar reconstruction(MPR) and volume rendering(VR) were reconstructed at workstation, CT findings of injured sternal were analyzed comparatively with that of radiography by two experienced radiologists. Results There were sternal body fracture in 28 cases, manubrium fracture in 7 cases and xyphoid process fracture in 1 case. 24 cases were diagnosed definitely and 12 cases were missed by radiography, the diagnosis rate of radiography was 66.7%, the diagnosis rate of MSCT technology combined with post-processing of MPR, VR images was 100.0%, there was significant difference in the diagnosis rate of MSCT technology than that of radiography (字2=14.40, P<0.05). Conclusion MSCT vol-umetric scanning combined with post-processing of MPR, VR images not only can show the location and type of ster-nal fractures but also can show other associated injuries, it has an important value in diagnosis and treatment of sternal fractures and should be the modality of choice for diagnosis of sternal fractures.

关键词

胸骨骨折/X线计算机/体层摄影术/胸部外伤

Key words

Sternal fractures/X-ray computed/Tomography/Chest trauma

分类

医药卫生

引用本文复制引用

陶海慧,吴茂铸,毛小明,徐昌茶..多层螺旋CT联合后处理重建技术诊断创伤性胸骨骨折36例[J].中国现代医生,2015,(14):109-112,4.

基金项目

浙江省医药卫生科技计划项目 ()

中国现代医生

1673-9701

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