目的 研究64螺旋CT在胸廓骨折 患者中的临床诊断价值，为临床提供依 据。方法 选取2014年4月-2016年5月医院 诊治的胸廓骨折患者53例，患者均行X线 摄影及64排螺旋CT诊断，将两种影像学检 查结果与手术病理诊断结果进行比较，分 析64螺旋CT在胸廓骨折患者中的临床诊断 效果。结果 53例患者经手术病理诊断10 例胸骨体骨折，7例肩胛骨骨折，24例肋 骨骨折，3例胸骨柄骨折，9例胸腰椎骨骨 折。64排螺旋CT诊断胸骨体骨折、肩胛骨 骨折、肋骨骨折、胸骨柄骨折、胸腰椎骨 骨折符合率，显著高于对照组(P<0.05)。 结论 胸廓骨折患者采用64排螺旋CT诊断 效果理想，能快速诊断胸廓外伤及骨折， 与X线比较具有其独特的优势，值得推广 应用。

Objective To study the clinical diagnostic value of spiral CT in 64 patients with thoracic fractures, provide the basis for clinical practice. Methods April 2014 - May 2016 thoracic fracture patients to hospital for treatment of 53 cases of patients underwent X-ray photography and 64-slice spiral CT diagnosis, two kinds of imaging findings and surgical pathology results were compared and analyzed 64 spiral CT diagnosis of clinical effect in patients with thoracic fractures. Results 53 patients with pathologically diagnosis 10 cases of sternal fracture, 7 cases of scapular fractures, rib fractures 24 cases, 3 cases of sternal fracture, 9 cases of thoracolumbar vertebrae fractures. 64-slice spiral CT diagnosis of sternal fracture, scapula fracture, rib fractures, sternum fractures, thoracolumbar vertebral fractures coincidence rate was significantly higher (P <0.05). Conclusion Thoracic fracture patients over a 64-slice spiral CT diagnostic results, can quickly diagnose thoracic trauma and fractures, and X-ray comparison has its unique advantages, should be widely applied.