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CT扫描三维重建技术在颌面部骨折患者中的应用价值

Application Value of the CT Scan 3D Reconstruction Technique in Maxillofacial Fracture Patients.

作者信息

Kang Jie, Jiang Lijie

机构信息

Department of Image Center, Hengshui People's Hospital, Hengshui, Hebei, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jul 7;2022:1643434. doi: 10.1155/2022/1643434. eCollection 2022.

Abstract

The aim of the study was to explore the application value of computerized tomography (CT) scan 3D reconstruction technology in maxillofacial fracture patients. A total of 80 maxillofacial fracture patients who underwent surgical treatment in Shijiazhuang People's Hospital from January 2019 to January 2020 were enrolled. All of them received 128-slice spiral CT  scans before surgery, and the images were subjected to multiplanar reconstruction (MRP) and volume reconstruction (VR). A total of 181 fractures were found in 80 patients with maxillofacial fractures. The detection rates of axial CT, MRP, and VR were 77.90% (141/181), 93.92% (170/181), and 97.79% (177/181), respectively. The detection rates of the four inspection methods were statistically different. Taking the findings of surgical anatomy as the gold standard, the sensitivity of MRP and VR for the diagnosis of maxillofacial fractures was 90.06% (163/170) and 95.56% (174/177), with no significant difference. CT scan 3D reconstruction technology has a high application value in the clinical diagnosis and treatment of maxillofacial fracture patients.

摘要

本研究旨在探讨计算机断层扫描(CT)三维重建技术在颌面部骨折患者中的应用价值。选取2019年1月至2020年1月在石家庄市人民医院接受手术治疗的80例颌面部骨折患者。所有患者术前均接受128层螺旋CT扫描,并对图像进行多平面重建(MRP)和容积重建(VR)。80例颌面部骨折患者共发现181处骨折。轴向CT、MRP和VR的检出率分别为77.90%(141/181)、93.92%(170/181)和97.79%(177/181)。四种检查方法的检出率差异有统计学意义。以手术解剖结果为金标准,MRP和VR诊断颌面部骨折的敏感度分别为90.06%(163/170)和95.56%(174/177),差异无统计学意义。CT扫描三维重建技术在颌面部骨折患者的临床诊断和治疗中具有较高的应用价值。

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