目的 探讨MSCT多平面重建(MPR) 对股骨远端外侧髁骨骨折的临床应用价 值。方法 收集河南大学附属南石医院 2015年2月-2016年2月我院收治的股骨远 端外侧髁骨骨折患者80例的影像学资料。 从X线平片与MSCT后处理技术对股骨远端 外侧髁骨骨折的检出率、MSCT后处理技 术在诊断股骨远端外侧髁骨骨折中的应 用分析阐述MSCT多平面重建(MPR)对股 骨远端外侧髁骨骨折的临床应用价值。 结果 X线平片、MSCT多平面重建(MPR) 对股骨远端外侧髁骨骨折的检出率分别 为38.75%(31/80)、100%(80/80)，MSCT 多平面重建对股骨远端外侧髁骨骨折高 于X线平片，两组差异具有统计学意义 (χ2 =70.631，P<0.05)；MSCT多平面重建 多角度成像对股骨远端外侧髁骨骨折线的 走形、数量及周围软组织显影均直观清 晰。结论 MSCT的MPR后处理技术对股骨远 端外侧髁骨骨折检出率高，能从多角度、 多切面准确显示股骨远端外侧髁骨骨折的 具体情况，为临床提供了影像学资料具有 重要指导作用。

Objective To investigate the application value of MSCT MPR on distal femoral lateral condyle fracture. Methods 80 cases with distal femoral lateral condyle fracture in our hospital from March 2013 to March 2014 were selected. Clinical application of MSCT MPR on distal femoral lateral condyle fracture was analyzed by detection rate of X-ray and MSCT on distal femoral lateral condyle fracture. Results Detection rate of X-ray, MSCT MPR on distal femoral lateral condyle fracture was 38.75%(31/80), 100%(80/80), the difference was statistically significant (χ2 =70.631, P<0.05). MSCT MPR could clearly show the shape, amount and surrounding soft tissue of distal femoral lateral condyle fracture. Conclusion MSCT MPR has high detection rate on distal femoral lateral condyle fracture, it can show specific circumstances from multi-angle and multiple views and provide significant guiding role on clinic.