鼻骨骨折CT诊断课件

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,影像医学部放射科,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,精品课件,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,二级,三级,四级,五级,精品课件,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,二级,三级,四级,五级,精品课件,*,鼻骨骨折,CT,诊断,郴州市第一人民医院 陈斐,指导老师 曾晖,1,精品课件,鼻骨骨折CT诊断郴州市第一人民医院 陈斐指导老师,头面部损伤中多见,检查方法,临床检查,X,线,CT,X,线缺陷,鼻骨侧位,X,线片上，仅能显示中线部位前后移位的骨折,2,精品课件,头面部损伤中多见2精品课件,正常鼻骨横断位图,3,精品课件,正常鼻骨横断位图3精品课件,易误诊为骨折,鼻骨孔,鼻颌缝,骨先天变异鼻,4,精品课件,易误诊为骨折鼻骨孔4精品课件,于鼻骨中下,1/ 3,交界处,内有鼻外动脉、鼻外静脉及鼻外神经通过,CT 横断扫描,：出现率,55%,双侧对称者,44%,鼻骨孔,5,精品课件,于鼻骨中下1/ 3 交界处鼻骨孔5精品课件,6,精品课件,6精品课件,7,精品课件,7精品课件,8,精品课件,8精品课件,误诊,9,精品课件,误诊9精品课件,鼻骨先天变异,鼻骨下缘的窄带状骨缺损,MPR+,VR,10,精品课件,鼻骨先天变异10精品课件,11,精品课件,11精品课件,上有鼻额缝,外有鼻颌缝、中间鼻骨间缝,12,精品课件,上有鼻额缝,外有鼻颌缝、中间鼻骨间缝12精品课件,需与鼻颌缝鉴别的骨折,13,精品课件,需与鼻颌缝鉴别的骨折13精品课件,14,精品课件,14精品课件,漏诊右侧鼻骨骨折,15,精品课件,15精品课件,典型的鼻骨骨折伴有移位,16,精品课件,典型的鼻骨骨折伴有移位16精品课件,17,精品课件,17精品课件,鼻部外伤影像检查小结,1.,病人多以外伤纠纷病人居多（排除外界干扰，客观判断）,2.,仔细观察病人临床特征、外伤情况；,3.,检查手段,X,线及,CT,；,4.,如,X,线诊断不明确，则建议,CT,、重组：,MPR+,VR,18,精品课件,鼻部外伤影像检查小结1.病人多以外伤纠纷病人居多（排除外界干,鼻骨重组,层厚,1mm,重组：冠状位、矢状位、,VR,19,精品课件,鼻骨重组层厚1mm19精品课件,法医鉴定标准,（一）鼻骨,粉碎性骨折,，或者鼻骨线形骨折伴有明显移位的；,（二）鼻损伤明显影响鼻外形或者功能的构成轻伤,20,精品课件,法医鉴定标准20精品课件,Thank you for your attention,21,精品课件,Thank you for your attention21,感谢亲观看此幻灯片，此课件部分内容来源于网络，,如有侵权请及时联系我们删除，谢谢配合！,感谢亲观看此幻灯片，此课件部分内容来源于网络，,感谢亲观看此幻灯片，此课件部分内容来源于网络，,如有侵权请及时联系我们删除，谢谢配合！,感谢亲观看此幻灯片，此课件部分内容来源于网络，,