X线平片对脊椎骨折患者诊断价值的研究

The diagnostic value of X-ray for spinal fracture patients

目的:探讨X线平片对脊椎骨折患者诊断价值。方法:60例临床CT诊断为脊椎压缩性骨折的患者采用X线平片进行再次观察,主要分析不同损伤程度的脊椎骨折患者诊断征象与评分。结果:X线平片诊断48例,诊断成功率为80.0%。漏诊12例,漏诊率20.0%。轻度组脊椎骨折X线与CT检查的评分结果显示[(6.82±1.32)分vs(7.82±1.92)分],不同检查之间评分比较,差异无统计学意义(P>0.05),而中度组[(8.26±1.01)分vs(11.32±1.26)分]与重度组[(8.36±1.62)分vs(12.36±1.06)分]的不同检查之间评分比较,差异均有统计学意义(均P<0.05)。结论:X线平片对脊椎骨折诊断价值比较高,尤其使对椎体压缩和椎体旋转脱位的诊断效果,但是损伤程度的关联性还存在不足,因此对损伤程度不同的患者,还需要加强联合诊断。

Objective： To explore the diagnostic value of X-ray for spinal fracture patients.Methods： 60 patients diagnosed as spinal compression fracture by CT were examined again by X-ray.The diagnosis signs and scores of spinal fracture patients of different severity were analyzed.Results： 48 patients were diagnosed with X-ray.The successful diagnosis rate was 80.0%.12 patients were missed,and misdiagnosis rate was 20.0%.The diagnosis scores in the mild group were [（6.82±1.32） scores vs（7.82±1.92） scores] respectively for X-ray diagnosis and CT examination,there was no significant differences between the two diagnosis methods（P〉0.05）.However,there were significant differences between X-ray diagnosis and CT examinations in the moderate [（8.26±1.01） scores vs（11.32±1.26） scores] and severe group [（8.36±1.62） scores vs（12.36±1.06） scores]（all P〈0.05）.Conclusion： X-ray diagnosis shows good diagnostic values for spinal fracture,but its correlation with different injury severity is not satisfactory enough.Thus to reduce unnecessary examinations,different examination methods should be chosen for patients of different severity according to clinical symptoms.