浅析胸腰椎骨折CT诊断的临床研究

Clinical Analysis of CT in the Diagnosis of Thoracolumbar Fracture

目的研究分析胸腰椎骨折患者接受CT诊断的临床效果。方法2013年1月—2015年1月我院对87例胸腰椎骨折患者进行了研究分析,为患者提供CT诊断和X线诊断,比较两种诊断方式检出率和患者满意度。结果全部患者有78例被CT检测出胸腰椎骨折,检出率是89.7%,X线检出61例,检出率70.1%,CT检出率高于X线,差异有统计学意义(P<0.05);骨折脱位型和安全带型胸腰椎诊断中,CT诊断结果和术中观察结果较为接近,CT诊断比X线诊断更加优秀;此次CT诊断满意率为96.6%,X线诊断满意率为69.0%,差异有统计学意义(P<0.05)。结论胸腰椎骨折患者临床中接受CT诊断的效果优于X线诊断,检出率较高,医疗人员比较认可,是非常可靠的诊断方式。

Objective To study the clinical effect of CT in the diagnosis of patients with thoracolumbar fractures. Methods From January 2013 to January 2015, 87 patients with thoracolumbar fractures were analyzed and analyzed. Patients were provided with CT diagnosis and X - ray diagnosis. The detection rate and patient satisfaction were compared between the two methods. Results The detection rate of thoracic and lumbar vertebrae was detected by 78 cases in all the patients. The detection rate was 89.7%, 61 cases were detected by X-ray, the detection rate was 70.1%, the CT detection rate was higher than that of X-ray, the difference was statistically significant （P 〈 0.05）. In the diagnosis of fracture and dislocation and thoracic and lumbar vertebrae, CT diagnosis and intraoperative observation were close, CT diagnosis was better than X-ray diagnosis. The satisfaction rate of CT was 96.6%, the satisfaction rate of X-ray diagnosis was 69.0%, the difference was statistically significant （P 〈 0.05）. Conclusion The clinical diagnosis of thoracolumbar fractures is better than X-ray diagnosis, the detection rate is higher, the medical staff is more recognized, is a very reliable diagnostic method.