X线平片与MSCT对胫骨平台骨折影像学诊断价值比较
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摘要
目的评价X线平片与多层螺旋CT(MSCT)对胫骨平台骨折影像学诊断中的临床应用价值。方法收集2016年5月-2018年7月我院收治的胫骨平台骨折患者67例的影像学资料。所选患者均进行X线平片与MSCT扫描检查,比较两种检查方法对胫骨平台骨折的显示情况及诊断价值。结果 X线平片对胫骨平台骨折的检出率为64.18%(43/67),MSCT扫描对胫骨平台骨折的检出率为97.01%(65/67),MSCT扫描对胫骨平台骨折的检出率高于X线平片的检出率,且差异有统计学意义(χ~2=70.631,P<0.05);胫骨平台骨折患者在影像学上均出现膝关节外侧间隙的不对称性增宽,髌上囊积液,胫骨平台塌陷等典型症状,同时存在局部压痛以及胫骨平台外软组织肿胀的现象。结论 MSCT较X线平片对胫骨平台骨折的检出率更高,能够作为X线检查的补充检查手段,从而为临床提供更加有力的影像学资料,提高临床对胫骨平台骨折的诊断准确性。
Objective To evaluate the clinical application value of X-ray plain film and multi-slice spiral CT(MSCT) in the imaging diagnosis of tibial plateau fracture. Methods The imaging data of 67 patients with tibial plateau fracture treated in our hospital from May 2016 to July 2018 were collected. All patients were examined by X-ray plain film and MSCT scan, and the diagnostic value of the two methods were compared. Results The detection rate of tibial plateau fracture was 64.18%(43/67), 97.01%(65/67) was detected by MSCT scanning, and the detection rate of tibial plateau fracture by MSCT scanning was higher than that by X-ray scanning, with statistically significant difference(χ~2=70.631, P<0.05). In all the patients with tibial plateau fracture, asymmetric widening of the lateral gap of the knee joint, suprapatellar sac effusion, tibial plateau collapse and other typical symptoms, as well as local tenderness and swelling of the soft tissue outside the tibial plateau could be seen. Conclusion MSCT has a higher detection rate of tibial plateau fracture than X-ray plain film, and can be used as a supplementary examination method, so as to provide more imaging data for clinical practice and improve the accuracy of clinical diagnosis of tibial plateau fracture.
Objective To evaluate the clinical application value of X-ray plain film and multi-slice spiral CT(MSCT) in the imaging diagnosis of tibial plateau fracture. Methods The imaging data of 67 patients with tibial plateau fracture treated in our hospital from May 2016 to July 2018 were collected. All patients were examined by X-ray plain film and MSCT scan, and the diagnostic value of the two methods were compared. Results The detection rate of tibial plateau fracture was 64.18%(43/67), 97.01%(65/67) was detected by MSCT scanning, and the detection rate of tibial plateau fracture by MSCT scanning was higher than that by X-ray scanning, with statistically significant difference(χ~2=70.631, P<0.05). In all the patients with tibial plateau fracture, asymmetric widening of the lateral gap of the knee joint, suprapatellar sac effusion, tibial plateau collapse and other typical symptoms, as well as local tenderness and swelling of the soft tissue outside the tibial plateau could be seen. Conclusion MSCT has a higher detection rate of tibial plateau fracture than X-ray plain film, and can be used as a supplementary examination method, so as to provide more imaging data for clinical practice and improve the accuracy of clinical diagnosis of tibial plateau fracture.
引文
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[12]孙广江,姚啸生,李洪久,等.X线平片与三维CT检查在胫骨平台骨折评估中的应用价值[J].CT理论与应用研究,2016,25(4):485-491.
[13]康伟峰,左玉强.螺旋CT对胫骨平台骨折的诊断价值[J].齐鲁医学杂志,2016,15(1):44-46.
[14]张琛,张丽霞,李杰.多层螺旋CT对老年复杂骨关节骨折的显像效果及分型诊断研究[J].中国CT和MRI杂志,2017,15(2):146-148.
[2]刘军,刘欢,王发祥.MSCT与MRI在胫骨平台隐匿性骨折中的诊断价值[J].中国骨与关节损伤杂志,2017,13(2):210-211.
[3]王哲,金环,谢健,等.成骨不全Ⅰ型致病基因COL1A1和COL1A2的电子克隆及结构分析[J].医学分子生物学杂志,2017,14(6):327-331.
[4]江洁,董道波,王晶,等.MSCT后处理技术结合MRI在胫骨平台骨折诊断中的应用价值[J].医学影像学杂志,2016,26(7):1288-1291.
[5]孙毅,耿磊,陈瑶,等.隐匿性胫骨平台骨折计算机断层扫描及磁共振成像诊断价值探讨[J].中华创伤骨科杂志,2016,18(10):880-884.
[6]朱亮旭,向学凌.隐匿性胫骨平台骨折患者的CT及MRI影像特征研究[J].医学影像学杂志,2017,27(9):1838-1840.
[7]杨力,蒲红,朱缨.MSCT扫描及三维重建技术在降低隐匿性骨折漏诊率中的临床应用[J].中国CT和MRI杂志,2017,15(7):137-140.
[8]田爱洁.下肢全长负重位X线片的投照技术及临床意义[J].解放军预防医学杂志,2016,28(9):00217-00217.
[9]国建飞,张涛,邢琳琳,等.爪形接骨板内固定术治疗多发肋骨骨折98例效果观察[J].解放军医药杂志,2016,28(8):44-47.
[10]于洋,王建华.多层螺旋CT扫描在胫骨平台粉碎性骨折诊断中的应用[J].中国CT和MRI杂志,2016,14(7):127-129.
[11]梁军,刘安民.多层螺旋CT及三维重建影像在胫骨平台骨折诊断和分型中的应用价值[J].中国CT和MRI杂志,2017,15(7):150-152.
[12]孙广江,姚啸生,李洪久,等.X线平片与三维CT检查在胫骨平台骨折评估中的应用价值[J].CT理论与应用研究,2016,25(4):485-491.
[13]康伟峰,左玉强.螺旋CT对胫骨平台骨折的诊断价值[J].齐鲁医学杂志,2016,15(1):44-46.
[14]张琛,张丽霞,李杰.多层螺旋CT对老年复杂骨关节骨折的显像效果及分型诊断研究[J].中国CT和MRI杂志,2017,15(2):146-148.