螺旋CT对桡骨远端骨折合并腕骨骨折的临床诊断价值

Multislice CT in diagnosis of associated carpal bone fractures in distal radial fractures

对2013年5月至2015年5月就诊的78例桡骨远端骨折患者的X线片和多层螺旋CT影像资料,进行回顾性对比分析.X线平片明确合并腕骨骨折21例29处;多层螺旋CT扫描明确合并腕骨骨折29例47处,两组腕骨骨折检出率比较差异有统计学意义（X^2 =8.313,P＜0.05）.X线平片与CT扫描相比,漏诊率为38％.多层螺旋CT可提高对桡骨远端骨折中合并腕骨骨折的诊断准确率,为临床的诊断和治疗提供可靠依据.

Clinical data and radiological findings of 78 patients with distal radial fractures,who underwent plain X-ray film and muhislice CT （MSCT） examinations,were retrospectively analyzed.Twenty nine associated carpal bone factures were detected on X-ray film in 21 cases;while 47 associated carpal bone fractures were detected on MSCT in 29 cases （P 〈 0.05）.The missed diagnosis rate of X-ray was 38%.Results indicate that MSCT can significantly improve the detect rate,which should be recommended for diagnosis of associated carpal bone fractures in distal radial fractures.