DR平片在隐匿性肋骨骨折中的诊断价值

The Diagnostic Value of DR Flat Sheet in Occult Rib Fracture

目的探讨DR平片在隐匿性肋骨骨折的临床诊断价值。方法选取我院近年来收治的55例拟诊隐匿性肋骨骨折患者进行研究,患者均接受DR平片及螺旋CT检测,比较其诊断率。结果 55例患者中,DR平片确诊49例,不确定2例,阴性4例,检出率为89.1%;共检出216处骨折,其中陈旧性骨折9处,可疑骨折12处;螺旋CT诊断确诊52例,不确定1例,阴性2例,检出率为94.5%;共检出233处骨折,其中其中陈旧性骨折16处,可疑骨折12处。结论在隐匿性骨折诊断中DR平片具有明显的诊断价值,但存在一定的漏诊率,因此需联合螺旋CT明确诊断。

Objective To investigate the value of DR plain film in the clinical diagnosis of occult rib fracture. Methods In recent years in our hospital were selected in 55 patients with suspected occult rib fracture patients were studied,all patients underwent DR plain film and spiral CT detection, comparison of the diagnostic rate.Results In 55 patients, DR plain film of 49 cases confirmed,not confirmed 2 cases,4 cases were negative,the positive rate was 89.1%;there were 216 fractures,including old fractures in 9,suspected fracture in 12;spiral CT diagnosis of 52 cases diagnosed, uncertain in 1 cases,2 cases were negative,the positive rate is. 94.5%;there were 233 fractures, including old fractures in 16,suspected fracture in 12.Conclusion A significant diagnostic value in the diagnosis of occult fracture of DR plain film,however there is still a certain rate of missed,so need combined with spiral CT diagnosis.