多轴位X线摄影在肋骨骨折诊断中的应用

The Application of Multi-axial View X-ray in the Diagnosis of Costal Fracture

目的：探讨多轴位x线摄影在肋骨骨折诊断中的应用价值。方法：收集我院2005～2006年间36例临床资料完整的胸部外伤并采用多轴位胸部x线摄影的病例，进行回顾性分析、总结。结果：36例患者中共发现肋骨骨折68根、79处。在拍摄常规胸部正位片（前胸受伤者采用后前位、后胸受伤者采用前后位）中总共发现肋骨骨折67处，占总数的84．8％，单纯拍摄胸部正位片漏诊12处，占总数的15．2％；胸部正位片与立位局部肋骨点片相比较，肋骨腋段漏诊9处，占总数的11．4％；胸部正位片与卧位局部肋骨点片相比较，肋骨腋段漏诊3处，占总数的3．8％。结论：采用多轴位x线摄影可以大大提高肋骨骨折的诊断准确率，多轴位X线摄影对肋骨骨折有较明显的优越性。

Objective： To discuss the application value of multi - axial view X- ray in the diagnosis of costal fracture. Methods： 36 cases with integrated data of thoracic trauma undergone multi - axial view X - ray from 2005 to 2006 were retrospectively reviewed. Results： 68 roots 79 places of costal fracture were found in 36 cas- es. 67 places of costal fracture were found in routine posteroanterior view of chest, account for 84.8 % of all cas- es; The missed diagnosis rate of posteroanterior view of chest is 15.2 % （12 places） ; Compared posteroanterior view of chest to erect position costal spot film, we found the missed diagnosis of axillary costal is 9 places, ac- count for 11.4 % of all cases; Compared posteroanterior view of chest to decubitus position costal spot film, we found the missed diagnosis of axillary costal is 3 places, account for 3.8 % of all cases. Conclusion- Multi - axial view X - ray can elevate the diagnosis accuracy of costal fracture and has obviously superiority to costal fracture.