【摘要】 目的:探讨16层螺旋CT多平面重组(Multi planar reconstruction,MPR)和容积再现(Volume rendering,VR)对肘关节损伤的临床应用价值。方法:应用16层螺旋CT对38例肘关节损伤患者进行扫描,根据损伤部位及结构行MPR和VR。结果:MPR结合VR图像能清晰显示肘关节骨折细节,共确诊骨折66处,累及关节面26例。MPR结合VR图像对骨折诊断正确率和骨折累及关节面诊断正确率明显高于X线平片和轴位CT,差异有统计学意义(P<0.05)。结论:16层螺旋CT MPR、VR图像可全面、准确显示肘关节骨折、脱位及关节面损伤情况,具有较高的临床应用价值。更多还原

【Abstract】 Objective:To evaluate the clinical value of multi planar reconstruction(MPR)and volume rendering(VR)with 16-slice CT in the injury of elbow joint.Methods:38 cases with elbow trauma underwent 16-slice spiral CT.Images with multiple planar reformation(MPR)and volume rending(VR)were obtained,which were compared with the findings obtained from axial CT images(2DCT) and plain films.Results:MPR imaging combination with VR imaging could demonstrate the details of elbow fracture clearly.66 fractures were diagnosed,and articular surface was involved in 26 cases.The coincident diagnosing rates by 16-slice CT were significantly higher than those by plain film and axial CT.Conclusion:MPR imaging combination with VR imaging of 16-slice CT can comprehensively and accurately show the fracture,dislocation and articular surface of the injured elbow joints,which has great clinical value.更多还原