多层螺旋CT与核磁共振成像联合诊断腕关节损伤的探析

Multi-slice spiral CT combined with magnetic resonance imaging in diagnose of wrist joint injury

目的 探究采用多层螺旋CT与核磁共振成像联合诊断腕关节损伤的情况.方法 调查研究我院在2012年1月至2014年9月间收治的168例腕关节损伤患者,分析其临床资料,根据检查方法的不同,将本组患者随机分成三组,各56例,分别给予多层螺旋CT检查、核磁共振成像检查和多层螺旋CT联合核磁共振成像检查.分析三组患者的不同检查方法的诊断情况,以及不同检查方法的优势.结果 多层螺旋CT组的检出率为73.21％,核磁共振成像组的检出率为75.00％,联合组的检出率为96.43％,经统计学分析差异无统计学意义（P＞0.05）,而联合组患者的检出率明显高于多层螺旋CT组和核磁共振成像组（P＜0.05）;多层螺旋CT联合核磁共振成像检查对于腕关节损伤的检出率显著高于单纯一种检查方式的检出率（P＜0.05）.结论 对于腕关节损伤的患者,采用多层螺旋CT联合核磁共振成像的诊断的效果最佳,能够综合两种检查方法的优势,提高检出率,明确具体损伤情况,值得临床推广使用.

Objective To explore significance of multi-slice spiral CT combined with magnetic resonance imaging in the diagnose of wrist joint injury.Methods 168 patients with wrist joint injury admitted into our hospital from January,2012 to September,2014 were investigated.Their clinical data were analyzed.According the different examination methods,the patients were randomly divided into three groups,56 cases for each group.These 3 groups were given multi-slice spiral CT examination,magnetic resonance imaging examination,and multi-slice spiral CT combined with magnetic resonance imaging examination,respectively.The diagnosis situations and the advantages of different examination methods of the three groups were analyzed.Results The detection rate of multi-slice spiral CT was 73.21%,that of magnetic resonance imaging 75.00%,and that of the combination group 96.43%.The statistical analysis showed that there were no significant differences （P〉 0.05）.However,the detection rate of the combination group was significantly higher than those multi-slice spiral CT and magnetic resonance imaging （P 〈0.05）;The detection rate of the combination of multi-slice spiral CT and magnetic resonance imaging was significantly higher than that of just one of these two examination methods（P 〈0.05）.Conclusions Multi-slice spiral CT combined with magnetic resonance imaging in the diagnosis of wrist joint injury is most effective.It synthesizes the advantages of the two examination methods,improves the detection rate,and makes the specific injury situation clear.It＇s worth being clinically generalized.