目的 探讨多层螺旋CT(MSCT) 在腕关节骨折诊断中的应用价值。方 法 收集2012年2月-2015年7月我院收治 的60例腕关节骨折患者，所有患者入院 后均接受X线、MSCT检查，配合重建技术 处理，且临床资料完整，分析MSCT重建 技术对腕关节骨折诊断的临床价值。结 果 MSCT诊断腕关节骨折符合率高于X线 片(P＜0.05)；MPR重建、VR重建检出腕 关节骨折准确率相近，均高于CT平扫(P ＜0.05)；MSCT对关节脱位、骨折、移位 骨碎片及骨挫伤诊断准确率均高于X线片 (P＜0.05)。结论 MSCT重建技术可直观、 立体显示腕关节骨折征象，提高腕关节 骨折诊断准确率，为临床治疗提供影像 学依据。

Objective To investigate the application value of multi-slice spiral CT (MSCT) in the diagnosis of wrist fractures. Methods Sixty patients with wrist fractures treated in our hospital between February 2012 and July 2015 were enrolled in the study. All patients underwent X-ray and MSCT examination combined with reconstruction technique treatment after admission. The clinical data were complete. The clinical value of MSCT reconstruction technique in the diagnosis of wrist fractures was analyzed. Results The coincidence rate of MSCT in the diagnosis of wrist fractures was higher than that of X-ray film (P<0.05). The accuracy rates of MPR and VR were close in detection of wrist fractures, which were higher than that of CT plain scan (P<0.05). The accuracy rates of MSCT in the diagnosis of joint dislocation, fractures, displaced bone fragments and bone contusion were higher than those of X-ray film (P<0.05). Conclusion MSCT reconstruction technique can directly and stereoscopically display the signs of wrist fractures, improve the diagnostic accuracy, and provide basis for clinical treatment.