三维CT重建在面中部骨折评估及手术规划中的应用：100例病例研究
Three Dimensional CT Reconstruction for the Evaluation and Surgical Planning of Mid Face Fractures: A 100 Case Study.
作者信息
Kaur Jasbir, Chopra Rohit
出版信息
J Maxillofac Oral Surg. 2010 Dec;9(4):323-8. doi: 10.1007/s12663-010-0137-1. Epub 2011 Feb 4.
BACKGROUND
3D CT reconstruction is increasingly becoming a valuable tool in maxillofacial trauma. The aim of this study is to evaluate the role of three dimensional computed tomography as compare to conventional radiography in diagnosis and management of mid face fractures.
METHODS
Hundred patients of mid face fractures were included in this study. After clinical examination patients were subjected to conventional radiographs. To arrive at correct diagnosis and treatment plan, each patient was subjected to 3D reconstruction.
RESULTS
Out of hundred patients of maxillofacial trauma 80% were male and 20% were females. Based on the etiology road traffic accidents (75%) were the most common, followed by assault (16%), fall (7%) and sports related accidents (2%). In 28 cases (28%) 3D CT had significant bearing in final diagnosis and treatment planning of mid face fractures.
CONCLUSIONS
3D CT is valuable in case of severe facial injury, enabling a clear perception of extent of major fracture line and resulting displacement of fragments. So this new modality permits preoperative analysis and surgical planning as compared to conventional radiography in case of mid face fractures.
背景
三维CT重建正日益成为颌面创伤中一项有价值的工具。本研究的目的是评估三维计算机断层扫描与传统放射照相术相比在面中部骨折诊断和治疗中的作用。
方法
本研究纳入了100例面中部骨折患者。临床检查后，对患者进行传统X线片检查。为了得出正确的诊断和治疗方案，对每位患者进行三维重建。
结果
在100例颌面创伤患者中，80%为男性，20%为女性。基于病因，道路交通事故（75%）最为常见，其次是袭击（16%）、跌倒（7%）和与运动相关的事故（2%）。在28例（28%）病例中，三维CT对面中部骨折的最终诊断和治疗计划有重要影响。
结论
三维CT在严重面部损伤的情况下很有价值，能够清晰地了解主要骨折线的范围以及骨折碎片的移位情况。因此，与传统放射照相术相比，这种新方法在面中部骨折的情况下允许进行术前分析和手术规划。
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