股骨颈骨折X线与CT影像的对比效果研究

A Comparative Study of X-ray and CT Images of Femoral Neck Fractures

目的:探讨研究股骨颈骨折X线与CT影像的对比效果。方法:用于临床研究的52例股骨颈骨折患者是由我院自2012年10月至2014年10月期间内收治的,对所有患者均进行X线检测与CT检测,对两种检测的影像结果进行对比。结果:52例患者经X线检测确诊为股骨颈骨折的共有41例,检出率为78.8%;经CT检测确诊为股骨颈骨折的共有52例,检出率为100%;CT检测的检出率明显高于X线检测,两者的数据比较差异具有统计学意义(P<0.05)。52例患者的X线影像图中发现明显碎骨片的共有8例,占总数的15.4%;CT影像图中发现明显碎骨片的共有25例,占总数的48.1%;CT影像图中发现明显碎骨片的数量明显多于X线影像图,两者的数据比较差异具有统计学意义(P<0.05)。结论:X线检测与CT检测均是股骨颈骨折的有效诊断方式,但总体来说,CT检测的结果更加准确,临床上可以将X线检测作为股骨颈骨折的初步诊断方式,而当X线检测结果不明确时,可进一步采用CT检测。

Objective： To study the femoral neck fracture X-ray and CT imaging contrast effect. Methods： Used for clinical study of 52 patients with femoral neck fracture by our hospital from October 2012 to October 2014, admitted during the period of all patients were X-ray examination and CT detection, the imaging results of both tests were compared. Results： 52 cases with X-ray inspection diagnosed with a total of 41 cases of femoral neck fracture, the detection rate is 78.8%; CT detection, diagnosis of a total of 52 cases of femoral neck fracture, the detection rate is 100%; CT detection rate is significantly higher than X-ray detection, data comparison of the two differences statistically significant （P〈0.05）. 52 patients were found in the X-ray image of apparent total of 8 eases of broken bone, 15.4% of the total; Clearly broken bone found in CT images of a total of 25 patients, 48.1% of the total; Found in CT image clearly broken bone figure significantly greater than the number of X-ray image, data comparison of the two differences statistically significant（P〈0.05）.Conclusion： X-ray examination and CT examination are effective way of diagnosis of femoral neck fracture, but overall, the result of the CT detection more accurate and can be clinically X-ray detection as primary diagnosis way of femoral neck fracture, and when the X-ray test result is not clear, can further CT detection.