本文综述了螺旋CT评估骨骼肌肉创伤的优势、检查技术及其在骨骼肌肉(包括肩关节、胸锁关节、腕关节、肘关节、膝关节、骨盆、脊柱及软组织)创伤中的最新应用研究。结果表明,具有快速容积扫描的螺旋CT及其MPR和3D重建在评估复杂的解剖结构和/或复杂损伤中具有其他影像检查手段无可比拟的优越性。还展望了螺旋CT的最新研究成果——多层(螺旋)CT在骨骼肌肉创伤中的应用前景。 This review summarizes the advantages of helical CT in assessing skeletal muscle trauma and examining techniques and their recent application in skeletal muscle trauma including the shoulder, sternoclavicular, wrist, elbow, knee, pelvis, spine and soft tissue. The results show that spiral CT with rapid volume scanning, and its MPR and 3D reconstruction, have unparalleled advantages over other imaging modalities in assessing complex anatomy and / or complex lesions. The latest research results of spiral CT are also prospected: the prospect of multi-slice (spiral) CT in skeletal muscle trauma.