| 胫骨平台骨折螺旋CT重建对手术治疗的
指导意义 |
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Received:December 25, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 梅锦荣 |
MEI Jin-rong |
湖州市中心医院骨科,浙江 湖州 313000 |
Department of Orthopaedics,the Central Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 李雄峰 |
LI Xiong-feng |
湖州市中心医院骨科,浙江 湖州 313000 |
Department of Orthopaedics,the Central Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 祝跃明 |
ZHU Yue-ming |
湖州市中心医院骨科,浙江 湖州 313000 |
Department of Orthopaedics,the Central Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 罗斌 |
LUO Bin |
湖州市中心医院骨科,浙江 湖州 313000 |
Department of Orthopaedics,the Central Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第4期，第285-287页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：根据螺旋CT重建图像进行胫骨平台骨折分型，探讨骨折分型对手术治疗方法的指导意义。
方法：胫骨平台骨折患者126例，男95例，女31例；年龄23～58岁，平均33.5岁。所有患者行螺旋CT扫描重建图像，提出分型方法。其中中央压缩型13例，劈裂型8例，劈裂压缩型79例，粉碎型(性)26例。并根据骨折分型选择手术入路及骨折固定方法。
结果：126例患者经0.5～4年，平均1.2年的随访。根据Hohl膝关节功能评价方法对手术前后进行评分统计。手术前后疼痛、主动活动能力及活动范围差异有统计学意义(P<0.01);稳定性及患者自我评价差异也具有统计学意义(P<0.05).
结论：根据螺旋CT重建图像进行胫骨平台骨折分型能正确的指导手术入路、复位和内固定的选择，并能明显提高治疗效果。 |
| [关键词]:胫骨平台骨折 体层摄影术,螺旋计算机 外科手术 |
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| Spiral CT reconstruction for typing of tibial plateau fracture to guide surgical therapy |
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Abstract:
Objective: To typing of tibial plateau fracture based on spiral CT reconstruction and to explore effect of the typing method for treatment.
Methods: A hundred and twenty-six cases with tibial plateau fracture(male 95,female 31, age fr- om 23 to 58 years old),the fractures were classified based on reconstruction image of spiral CT. Including central compression type in13 cases,split type in 8,split compression type in 79,comminution type in 26. According to the different typing the suitable incision of operation and fixed method for fracture were select.
Results: A hundred and twenty-six cases were followed up for 0.5-4 years with an average of 1.2 years. According to Hohl system score to knee joint function,there were statistical significance in the pain,active movement,active range of motion between before and after operation(P<0.01)and there were no s- tatistical significance in stability and self-evaluation(P<0.01).
Conclusion: Typing of tibial plateau fracture based on spiral CT reconstruction helpful to choose operative approach, reduction and fixed method and obviously improve clinical effect. |
| KEYWORDS:Tibial plateau fractures Tomography,spiral computed Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梅锦荣,李雄峰,祝跃明,罗斌.胫骨平台骨折螺旋CT重建对手术治疗的
指导意义[J].中国骨伤,2009,22(4):285~287 |
| 英文格式: | MEI Jin-rong,LI Xiong-feng,ZHU Yue-ming,LUO Bin.Spiral CT reconstruction for typing of tibial plateau fracture to guide surgical therapy[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(4):285~287 |
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