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目的:为了探究利用多层螺旋CT来进行各向同性的扫描及后处理的技术在对眶骨骨折法医鉴定的临床作用。方法:选取100例在2015年2-7月我院收治过的受眼眶外伤而接受法医来鉴定的患者作为本次研究的对象,对其进行多层螺旋CT扫描之后,再采用多平面重组技术进行处理,再对MSCT和常规CT的诊断结果进行对比分析。结果:未见骨折的有10例,复合骨折的有21例,爆裂骨折的有45例,直接骨折的有24例。采用常规CT诊断的有25例为误诊或者漏诊,且100例受眼眶外伤的患者皆经过了MSCT的诊断。差异具有统计学意义。结论:采用多层螺旋CT来对伤者进行诊断,相对于常规的CT诊断更加能够清晰并且真实的显现出伤者眶骨骨折处的结构情况,然后再经过后处理技术使得眶骨骨折部位以及范围能够清楚的显示出来,从而为法医鉴定在临床上的诊断和后续治疗都提供了有有效可靠的根据。
OBJECTIVE: To explore the clinical effect of multi-slice spiral CT in isotropic scanning and postprocessing on forensic identification of orbital fractures. Methods: A total of 100 patients who underwent orbital trauma in our hospital from January to July in 2015 were enrolled in this study. After multi-slice spiral CT scan, multiplanar reconstruction For treatment, then the MSCT and conventional CT diagnostic results were compared. Results: There were 10 cases without fractures, 21 cases with complex fractures, 45 cases with burst fractures and 24 cases with direct fractures. Twenty-five patients who were diagnosed by conventional CT were misdiagnosed or missed, and 100 patients with orbital trauma were diagnosed by MSCT. The difference was statistically significant. CONCLUSIONS: The MSCT is used to diagnose the wounded. Compared with the conventional CT, the structure of the orbital bone fractures can be clearly and clearly revealed. Then the post-processing technique can make the orbital fractures and The range can be clearly displayed, thus providing an effective and reliable basis for forensic identification in clinical diagnosis and follow-up treatment.