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目的:探讨多层螺旋CT诊断胸腰椎爆裂性骨折的临床效果。方法:随机在本院接受治疗的胸腰椎爆裂性骨折患者54例作为研究资料,于2016年2月—2017年2月期间收治,均经X线片检查和多层螺旋CT检查,比较两种检查方法的诊断价值。结果:多层螺旋CT在椎体骨折数检出率93.55%,附件骨折数检出率94.96%及椎管分度准确度87.09%等方面均显著优于X线片80.65%、84.87%、72.58%,P<0.05。结论:对胸腰椎爆裂性骨折患者采用多层螺旋CT诊断能够准确、直观且多角度显示骨折,为手术治疗提供可靠的依据,具有较高的临床应用价值。
Objective: To investigate the clinical effect of multi-slice spiral CT in the diagnosis of thoracolumbar burst fractures. Methods: Fifty-four patients with thoracolumbar burst fractures randomly treated in our hospital were treated as data from February 2016 to February 2017. All of them were examined by X-ray and multi-slice spiral CT. Check the diagnostic value of the method. Results: The detection rate of vertebral fractures was 93.55%, the detection rate of accessory fractures was 94.96% and the accuracy of spinal canal classification was 87.09%. The results of multislice spiral CT were significantly better than that of X-ray films 80.65%, 84.87%, 72.58 %, P <0.05. Conclusion: The diagnosis of thoracolumbar burst fractures by multi-slice spiral CT can be accurate, intuitive and multi-angle fracture, provide a reliable basis for surgical treatment, with high clinical value.