| 薛敏娜,薛炳延.鼻部外伤影像学检查方法的探讨[J].中国医学影像技术,2003,19(4):410~411 |
| 鼻部外伤影像学检查方法的探讨 |
| Selection of the Imaging Method in the Nasal Region Injury |
| 投稿时间：2002-12-09 |
| DOI： |
| 中文关键词: 鼻区 外伤 X线 体层摄影术,X线计算机 |
| 英文关键词:Nasal region Injury X-ray Tomography,X-ray computed |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨合理的鼻部外伤影像学检查方法。方法 对74例鼻部外伤者同时作了X线鼻骨侧位像、冠状和横断CT扫描。以冠状+横断CT扫描的结果为准,比较了各种检查方法之间对鼻部外伤影像学征象的检出率。结果 两种CT扫描合用的诊断效果最好。X线鼻骨侧位片仅能检出75.67%的鼻骨骨折,对上颌骨额突骨折等其他鼻部外伤均不能诊断。在鼻骨或/和上颌骨额突骨折的诊断中冠状CT扫描均显著优于横断CT扫描,而在鼻泪管骨折、鼻颌缝分离、鼻骨间缝增宽的诊断上则横断CT扫描均要显著优于冠状CT扫描。结论 在鼻部外伤的影像学检查中仅作鼻骨X线侧位片是不够的;为了解有无鼻骨或/和上颌骨额突骨折应首先作鼻部冠状CT扫描,如经济条件许可,可加作鼻部横断扫描。 |
| 英文摘要: |
| Objective To select the reasonable method of imaging in nasal region injury. Methods The lateral radiography,coronal CT scan and axial CT scan findings of 74 patients with nasal region injury were analyzed and compared with each other,on the basis of diagnosis of coronal CT scan + axial CT scan. Results The lateral radiography of nasal bone only found 75.67% nasal bone fractue and could not find any another features of nasal region injury.The coronal CT scan was superior to axial CT scan about the diagnosis of nasal bone fracture and/or frontal process of maxilla fracture. Conclusion The coronal CT scan is the first choice of the imaging method in the injury of nasal region. |
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