摘要
目的：探讨高分辨CT在蝶骨骨折诊断中的应用价值。方法：回顾性分析我院头面部外伤高分辨CT检查346例，详细观察蝶骨受损情况。结果：蝶骨骨折86例，发生率为24.9%，明显高于颞骨骨折，其中蝶骨大翼骨折81例（占94%），蝶骨体部骨折66例（占76.7%），蝶骨小翼骨折49例（占56.9%），蝶骨翼突骨折19例（占22.1%），2个以上部位的多处骨折81例，占94.1％；合并头面部其它部位骨折79例，占91.1％。结论：水平位和冠状位结合高分辨CT可准确及时发现蝶骨骨折及其部位，蝶骨骨折多为多部位骨折，头面部外伤合并蝶骨骨折提示病情复杂。
Abstract
Objective: To explore the effect of HRCT in the diagnosis of sphenoid bone fracture in facial trauma. Methods: HRCT images of 346 facial trauma patients were analyzed retrospectively. Results: Eighty-six patients were found with sphenoid bone fracture. Among them, there were 81 cases(94%) with greater wing fracture, 66 cases(76.7%) with sphenoid bone body fracture, 49 cases(56.9%) with lesser wing fracture, 19 cases(22.1%) with sphenoid bone process fracture; 81 cases(94.1%) had multiple fractures and 79 cases(91.1%) associated with other facial bone fractures. Conclusion: The sphenoid bone fracture can be detected clearly by axial and coronal scan of HRCT. Most sphenoid bone fractures are multiple. Sphenoid bone fracture always suggests a complex trauma.
关键词
颅骨骨折 /
体层摄影术 /
X线计算机
Key words
skull fractures /
tomography /
X-ray computed
李书玲;王振常;鲜军舫.
高分辨CT在蝶骨骨折诊断中的应用价值[J]. 中国临床医学影像杂志. 2007, 18(2): 133-135
LI Shu-ling;WANG Zhen-chang;XIAN Jun-fang.
Effect of HRCT in the diagnosis of sphenoid bone fracture[J]. Journal of China Clinic Medical Imaging. 2007, 18(2): 133-135
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