CR与CT检查对胫骨上端隐匿性骨折综合分析

Comperhensive Analysis of the Occult Fracture of the Upper End of a Tibia with CT and CR

目的:为了减少急诊膝关节外伤患者骨折漏诊率。方法:随机抽取27例膝关节外伤患者,均行CR摄片及CT检查,影像科至少4位主治以上医师阅片,并对其敏感性、特异性、影像表现进行综合分析。结果:胫骨上端隐匿性骨折普通X线漏诊率达29.6%。CR摄片及CT检查综合分析诊断符合率达92.5%。结论:对胫骨上端隐匿性骨折采用CR与CT综合观察可以大大提高诊断符合率。

Objective：With a view of decreasing the rate of missed diagnosis of emergent patients with the knee joint injury. Methods：A random of 27cases with the knee joint injury taken CR and CT to see if there was a fractur and made a diagnosis by senior doctors. We have performed a comprehensive analysis and paid special attention to its sensibiliy and speciality. Results：The rate of missed diagnosis of the patiens with the Occult fracture of the upper end of a Tibia with common X-ray examination is 29.6%, and the rate of meet diagnosis with CR and CT has reached 92.5%. Conclusion ：The rate of meet diagnosis of patiens with the occult fracture of the upper end of a Tibia with CR and CT examination has been dramatically increased.