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目的探讨骨盆骨折的各种影像学检查方法及其应用价值,以便采用更合理的骨盆外伤影像学检查。方法搜集整理本院2004年1月至2009年6月之间的先后进行骨盆X线平片、CT常规扫描和“CT薄层扫描+三维重建”的骨盆骨折病例共29例,比较它们的诊断结果。结果29例骨盆骨折病例中共发现88处骨折,其中X线漏诊15处,CT常规扫描漏诊6处,CT薄层扫描+三维重建无漏诊部位。结论X线检查是骨盆外伤最基本的影像学检查方法;严重的骨盆创伤或伴有复合伤的患者,应及时进行CT常规扫描;若临床需要,可进行CT薄层扫描+三维重建,以增加诊断信息,为临床手术治疗提供帮助。
Objective To explore various imaging methods and their application value of pelvic fractures in order to adopt a more reasonable pelvic trauma imaging examination. Methods A total of 29 cases of pelvic fractures were performed in our hospital from January 2004 to June 2009, including pelvic X-ray, conventional CT scan and CT thin-layer scan + 3D reconstruction. The diagnosis results. Results A total of 88 fractures were found in 29 cases of pelvic fracture, of which 15 were missed by X-ray, 6 were missed by conventional CT scan, and there was no missed site by CT thin-layer scan and 3D reconstruction. Conclusion X-ray examination is the most basic imaging examination method for pelvic trauma. Patients with severe pelvic trauma or complicated with composite injury should be scanned with CT in time. If the clinical needs, CT thin-layer scan and 3D reconstruction can be performed to increase Diagnostic information for clinical surgical treatment to help.