骨骺损伤90例X线平片诊断分析

X-ray diagnosis of epiphyseal injury in 90 cases

目的:探讨骨骺损伤的分型和各型损伤的X线表现。方法:采用Salter-Harris分类法对90例(93个)骨骺损伤进行回顾性分析。结果:S-HⅡ型、Ⅳ型和Ⅰ型最常见,占93个骨骺损伤的94.2%(88个)。结论:X线平片是诊断骨骺损伤的最佳方法,X线表现为骨骺和骨干的对应位置发生错位和骨骺线增宽,轻微移位和(或)骺线增宽易被忽略,须摄健侧对比观察。三角征或板征对诊断Ⅱ、Ⅳ型损伤十分重要。

Objective：To discuss the classification of epiphyseal injury and various types of injury in the performance of X-ray. Methods：90 eases of epiphyseal injury （93） were reviewed retrospectively by using Salter-Harris classification. Results：S-H Ⅱ-type, Ⅳ- type and Ⅰ-type were the most common one, accounting for 94.2%（88） in 93 epiphyseal injuries.Conclusion：X-ray is best method to diagnose epiphyseal inju,y.X-ray manifestations of backbone and epiphysis with a corresponding location of the dislocation and widened epiphyseal line, minor displacement and/or epiphyseal line broadening are often overlooked, so the health side should be taken to observe for a comparison.Triangular sign or plate sign in the diagnosis of Ⅱ , Ⅳ-type injury is very important.