多层螺旋CT颅骨三维图像重建在颅骨骨折中的应用研究
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杨小秦(1960- ),男,主任医师,甘肃省人民医院急诊中心主任,研究方向:急诊创伤外科,重症医学,颅脑损伤。

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甘肃省科技厅科技支撑计划项目(1011FKCA099)


Application of multi-slice spiral CT three-dimensional reconstruction of the skull in diagnosis of skull fracture
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    摘要:

    目的 分析和对比多层螺旋CT(Multi-slice Spiral Computed Tomography,MSCT)与多层螺旋CT颅骨三维图像重建(Three dimensional reconstruction)在颅骨骨折中的影像表现,探讨多层螺旋CT颅骨三维图像重建在颅骨骨折中的临床应用价值。方法 收集2009年12月~2012年10月我院收治的300例急性颅脑外伤(traumatic brain injury TBI)检查资料,均于伤后6 h内行多层螺旋CT及颅骨三维图像重建检查,检出颅骨骨折病例82例,将数据运用统计学方法分析,比较两种检查方法的差异。结果 多层螺旋CT颅骨三维图像重建在颅顶骨折(P=0.026)、颅底骨折(P=0.004)的检出率高于常规多层螺旋CT,具有统计学差异(P<0.05﹚,并且有较高的特异性及敏感性。结论 螺旋CT颅骨三维图像重建在颅骨骨折的诊断中优于MSCT,具有可靠的临床价值。

    Abstract:

    Objective To compare the multi-slice spiral computed tomography (MSCT) and MSCT three-dimensional reconstruction of the skull in the representation of skull fracture and to investigate the clinical value of MSCT three-dimensional reconstruction of the skull in the diagnosis of skull fracture.Methods The examination information of 300 patients with traumatic brain injury (TBI) who were admitted to our hospital from December 2009 to October 2012 were collected. All patients underwent MSCT and MSCT three-dimensional reconstruction of the skull within 6 h after injury. Eighty-two cases of skull fracture were detected. The obtained data were subjected to statistical analysis to compare the two imaging methods.Results Compared with the conventional MSCT, MSCT three-dimensional reconstruction of the skull had significantly higher detection rates of parietal fracture (P=0.026) and basal fracture (P=0.004), as well as higher specificity and sensitivity for skull fracture.Conclusions MSCT three-dimensional reconstruction of the skull is superior to MSCT in the diagnosis of skull fracture and has reliable clinical value.

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柳少光, 杨小秦, 王学斌, 王建平456.多层螺旋CT颅骨三维图像重建在颅骨骨折中的应用研究[J].国际神经病学神经外科学杂志,2013,40(5-6):397-400111LIU Shao-guang, YANG Xiao-qin, WANG Xue-bin, WANG jian-ping222. Application of multi-slice spiral CT three-dimensional reconstruction of the skull in diagnosis of skull fracture[J]. Journal of International Neurology and Neurosurgery,2013,40(5-6):397-400

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  • 收稿日期:2013-07-17
  • 最后修改日期:2013-10-27
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  • 在线发布日期: 2013-12-28
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