The Value of Combining 3D-CT Reconstruction and MRI in Diagnosis and Treatment of Tibial Plateau Fractures_West China Medical Journal

Authors：

WANG Wei

The People’s Hospital of Qingyang District Chengdu,Chengdu Sichuan 610031, China;

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Keywords：

脛骨平臺骨折; MRI; CT三維成像

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目的:探討多排螺旋CT三維重建技術結合MRI在脛骨平臺骨折診斷和治療中的價值。方法:收集57例脛骨平臺骨折患者的X線平片、螺旋CT三維重建、MRI影像檢查資料,對照術中所見,分析、比較MRI結合多排螺旋CT三維重建技術在臨床診斷和治療中的價值。結果:在診斷正確率及分型符合率上,多排螺旋CT三維重建技術結合MRI均優于X線平片;并且MRI能明確顯示韌帶、關節軟骨受損傷情況。結論:多排螺旋CT三維重建技術能直觀、立體地顯示脛骨平臺骨折的形態,MRI能明確顯示韌帶、關節軟骨受損傷情況。兩者結合,有助于骨折的分型及手術方式的確定。

Citation： WANG Wei. The Value of Combining 3D-CT Reconstruction and MRI in Diagnosis and Treatment of Tibial Plateau Fractures. West China Medical Journal, 2009, 24(8): 1960-1962. doi: Copy

1.	SCHATZKER J,MC R,BMCE D．The tibial plateau fractures[J]．Clin Orthop,1979,138:94．.
2.	LIOW RY,BIRDSLL PD,MUCCI B,et al．Spiral computed tomography with twoand threedimensional reconstruction in the management of tibial plateau fractures[J]．Orthopedics,1999．22(10);929-932．.
3.	王書智,孫麗敏,葉彬,等．脛骨平臺骨折的CT應用和價值[J]．中華放射學雜志,l997,21(6):419420．.
4.	張峻,侯筱魁,王以友,等．三維CT重建在脛骨平臺骨折中的應用[J]．中華骨科雜志[J],1998,18(7):387-390．.
5.	王武,張雪哲,盧延,等．膝關節側副韌帶及其損傷的MRI研究[J]．中華放射學雜志,2001,35(10):810813．.
6.	YAO L,LEE JK. occult intraosseous fracture:detection With MR imaging[J]．Radiology,1988,167(5):749-751.

1. SCHATZKER J,MC R,BMCE D．The tibial plateau fractures[J]．Clin Orthop,1979,138:94．.
2. LIOW RY,BIRDSLL PD,MUCCI B,et al．Spiral computed tomography with twoand threedimensional reconstruction in the management of tibial plateau fractures[J]．Orthopedics,1999．22(10);929-932．.
3. 王書智,孫麗敏,葉彬,等．脛骨平臺骨折的CT應用和價值[J]．中華放射學雜志,l997,21(6):419420．.
4. 張峻,侯筱魁,王以友,等．三維CT重建在脛骨平臺骨折中的應用[J]．中華骨科雜志[J],1998,18(7):387-390．.
5. 王武,張雪哲,盧延,等．膝關節側副韌帶及其損傷的MRI研究[J]．中華放射學雜志,2001,35(10):810813．.
6. YAO L,LEE JK. occult intraosseous fracture:detection With MR imaging[J]．Radiology,1988,167(5):749-751.

West China Medical Journal

The Value of Combining 3D-CT Reconstruction and MRI in Diagnosis and Treatment of Tibial Plateau Fractures

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