CT 与DR 平片检查在髋臼骨折诊断中的临床应用.pdf

现代医学ModernMedicalJournalnull2011,Feb；39(1):76null784AFm,yEH7Y,AF9/=BHW=,9VIPB|b8Kv|Bkb9,P1%rLEIP9XL,5_H?A4,aShmi,9arLEbS%XLbID1；,f,.CR8V4khM_M1LJ.iD,2009,38(2):130null133.2TINGBERGA,SJOSTROMD.SearchforoptimaltubevoltageforimageplateradiographyM/CHAKRABORTYDP,KRUPINSKIEA.ProceedingsofSPIE:medicalimaging2003imageperception,observerperformance,andtechnologyassessment.Vol5034.Bellingham:InternationalSocietyforOptialEngineering,2003:187.3CHOTASHG,FLOYDCE,DOBBINSJT,eta.lDigitalchestradiographywithphotostimulablestoragephosphors:signalnulltonullnoiseratioasafunctionofkilovoltagewithmatchedexposureriskJ.Radiology,1993,186(2):395.4；,?,f,.3XLdmYyLJ.LD,2008,9(2):69null71.5,+.9XLmrLEsJ.b,2007,41(11):1250null1251.6BN.3XLmsJ.CD,2008,36(4):272null273.nullnulll2010null08null02nullnull2010null10null10Ted=(1972null),o,Z,5/=bEnullmai:null$5nullCTDR_|5陆春花,赵文荣,陈云燕,唐翠松,周如康(6vEDbS,Znull200072)K1:探讨CT与数字X线摄影(DR)平片检查在髋臼骨折诊断中的临床应用bZE:回顾性分析21例经CT与DR平片检查的23个髋臼骨折者的影像资料,部分病例行螺旋CT扫描及多平面重建bT:CT对简单和复杂型髋臼骨折的诊断准确率为100%；DR平片对简单型骨折的诊断准确率为80%,2例漏诊,对复杂型骨折的诊断准确率为53.8%,6例仅诊断为简单型骨折b8处关节腔内碎骨片CT均能显示,而DR仅显示3处b:CT对复杂性髋臼骨折的分型和关节内碎骨片的发现率远高于DR,因此CT是诊断髋臼骨折的最佳方法b1oM髋臼骨折；体层摄影术,X线计算机；数字X线摄影术ms|R683.3；R814nullnullDSMBnullnullcI|1671null7562(2011)01null0076null03do:i10.3969/.jissn.1671null7562.2011.01.025nullnull11,s88231bF1o,|B7,)T,Y3,./%b3XL(digitalradiography,DR)_yaFWa4S_8yY,4aAU|,5rBKbCTnull76nullh,F,iVy,547bT21CTDR_23|1s,/b1nullZE1.1nullBVPACSd2008M122010M5|21,s19(11,P8),2,923b310,o11；M-1395,(51.6bh(,y4,)3,14,HW1h5db1.2null_ZE21KodakDR7500_(5,16(1),PGElightspeed4CT,h|,1tU,510mm,510mm,11.5,P|F1.252.5mm,1.5,ST_Fy(MPR)y(VR),aZi4|f18=,3F3sY4FaF#8#sfb2nullnullnullT23|s(m1a2),?|aa1=(m3)#15=nfCTDRAUnV1bm1nullDRUBHL|L,e|m2nullBCTbAU#-CaC#|AnullnullBnullnullm3nullMPR3(A)(B)bAU18=l#C|null77null陆春花,等.CT与DR平片检查在髋臼骨折诊断中的临床应用V1nullCTDR|?1|e18=?|15nCT10(100)13(100)8(100)15(100)4(100)21(100)DR8(80)7(53.8)3(37.5)14(93.3)4(100)17(81)nullnull:|s13null)nullnullF11,-()(U)Y!J,s4C2:-C8,CU8,C8,=CaaU8Cs,ZuH8；-S,Zu-Z%r-,SUvMZuZ_/rUbva7|b,|)#Ha|i?71,Y32byNP_,7,P#Ha,SSD3d15b3.1nullCTDR|_#F,.dXL-a|(_|45)#d|(_r|45)3gv(Fh?1-)3；y,#F,8,?3M,Fsi,ys.e?8_y,YAU,4|LM#18=TbCT_iy,VA4q4bD,XL|_V?l,_4v,45b23|DRe|8,P2,|7,6?C1)|,/,18=?C3)b7CT_5s_,EF8,FsOq,|AUs7,|q100%；189?bAU,8)18=CT(?AUb3.2nullCTDR|s1|B#1,|,sZE,LetournelsE|se|v6be|-C|a-|aC|；|c|7-8bsE,|Ls,FAUCT|sADR,/DRyV?-7|1bNseLaL,D=SD=gb6|i?|1#15n,CTDRZAsbFV,|CTDR/:(1)AU|,|s；(2)|L_a18=*#MfAUb#,；(3)?b#AUFfbyN,|saAU#,CTDR51ilbDR_V1_ZE,VT?_ZE,7CTVT1,5P7DR|,ACT_,V54WL_TbID17.dM.:3,2005:53null54.2M,y,m,.16CTDR1715NJ.D,2009,19(7):896null898.3b,；,.CTXL17sJ.D,2002,12(6):421null423.4,$,f7+.CT)/G|NJ.CD,2008,36(3):210null211.5FISHMANEK,MAGIDD,DREBINRA,eta.lAdvancedthreenulldimensionalevaluationofacetabulartrauma:volumetricimageprocessingJ.JTrauma,1989,29(2):214null218.6LETOURNELE.Acetabularfractures:classificationandmannullagementJ.ClinOrthop,1980,151(1):81null86.7BRANDSERE,MARSHJL.Acetabularfractures:easierclassinu