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颌骨骨折的常规X线、CT和三维CT对比研究

Comparetive Analysis of Ordinary X-ray Film, CT and 3D-CT in the Jaws Fractures

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【作者】 李传亭沈天真陈星荣严文洪张孟殷

【Author】 Li Chuanting; Shen Tianzhen; Chen Xingrong; et al.(The Institute of Medical Imaging, Shandong, Jinan 250021)

【机构】 山东省医学影像学研究所!济南250021上海医科大学华山医院放射科!200040上海医科大学华山医院颌面外科!200040

【摘要】 目的:研究常现X线、CT和三维CT对显示颌骨骨折的优缺点和互补点。材料与方法:对61例不同类型的上、下颌骨骨折常现X线、CT和三维CT显示情况进行对比分析,同时与手术结果对照,结果:对下颌骨体部和角部的骨折3种影像学检查均显示准确;对下颌骨髁状突骨折的显示三维CT优于CT和常规X线;对上颌骨骨折常规X线显示较差,CT和三维CT显示准确率相似。二维CT对颌骨骨折显示得立体直观,CT可同时显示骨折部位软组织改变的情况,结论:3种影像学检查对颌骨骨折的显示各有优缺点.三者相互结合可以提高对颌骨骨折显示的准确率。

【Abstract】 Objective: To study the advantage, shortage and mutual benefit of conventional X-ray film, CT and 3D-CT. Materials and Methods: Conventional X-ray face, CT and 3D-CT were performed in 61 cases of jaws fractures. The signs of these three imaging methods were compared with each other and with the operation findings. Results: The fractures in body and angle part of mandible could be shown excellently with all these imaging methods. 3D-CF is the best method in showing the mandibular fractures. Conventional X-ray film is poor, and the accuracy of CT and 3D-CT is similar in showing the maxillary fractures. 3D-CT shows the jaws fractures directly and stereoscopicly, CT is very useful in showing the soft tissue parts around fracturea. Conclusion: Conventional X-ray film, CT and 3D-CT has each of their advantages and shortages in showing the jaws fractures. The accurate rate of diagnosis can be raised with combination of these three imaging methods.

【关键词】 颌骨骨折X线摄影术CT三维CT
【Key words】 Jaws fractureRadiographyCT3D-CT
  • 【文献出处】 临床放射学杂志 ,JOURNAL OF CLINICAL RADILOLGY , 编辑部邮箱 ,1998年06期
  • 【分类号】R782
  • 【被引频次】30
  • 【下载频次】162
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