Application of MSCT Three-dimensional Bone Reconstruction in the Diagnosis and Treatment of Hip Fracture
Objective To investigate the application of multi-slice spiral CT(MSCT)three-dimensional bone reconstruction in the diagnosis and treatment of hip fractures.Methods 98 patients with hip fracture admitted to the hospital from January 2020 to August 2022 were selected.All patients underwent conventional X-ray examination,MSCT and MSCT bone reconstruction,and the images were observed.Results Surgical results showed that there were 101 hip fractures in the 98 patients,including 35 femoral head fractures,24 femoral neck fractures,21 intertrochanteric fractures and 21 acetabular fractures.X-ray missed 12 fractures,two-dimensional CT missed 7 fractures,and MSCT three-dimensional bone reconstruction detected all fractures.The detection rate of hip fracture was significantly higher than that of X-ray and two-dimensional CT(P＜0.05).The accuracy of acetabular fracture classification by MSCT three-dimensional reconstruction was higher than that by two-dimensional CT or X-ray,but the difference was not statistically significant(P＞0.05).The treatment plan was developed according to preoperative MSCT three-dimensional bone reconstruction data.The intraoperative findings were consistent with the data.The operation time,intraoperative blood loss,intraoperative fluoroscopy time and fracture healing time were(106.30±27.40)min,(356.60±54.17)mL,(21.35±5.11)s and(80.46±12.29)d.Postoperative follow-up showed that the excellent and good rate of treatment was 94.90％,and no complications were observed.Conclusion MSCT three-dimensional bone reconstruction can clearly show the situation of hip fracture,which is beneficial to the diagnosis of hip fracture and fracture types.It is of great value for the development of clinical surgical plan and postoperative joint function recovery.
Multi-slice Spiral CTThree-dimensional Bone ReconstructionHip FractureDiagnosisTreatment
万方数据
维普
