X线平片和CT检查诊断肋骨骨折的临床效果和对比分析

Clinical efficacy and comparative analysis of diagnosis of rib fractures with X-ray and CT

目的分析肋骨骨折(rib fracture,RF)诊断时采用CT扫描和X线平片诊断的结果。方法选取我院2014年6月~2015年6月收治的62例确诊为RF患者进行实验,分别采用X光和CT扫描方式予以诊断,判断2种方式的确诊率和错诊率。结果螺旋CT对膈上RF的检查确诊率显著比X线平片高,而错诊率相比X线平片则有显著下降,差异具有统计学意义(P<0.05);螺旋CT对膈下RF的检查确诊率显著比X线平片高,而错诊率相比X线平片则有显著下降,差异具有统计学意义(P<0.05)。结论与X线平片相比,采取CT影像技术对RF患者进行诊断,可获得更高的骨折检出率,同时尽量避免误诊的情况,值得加强推广。

Objective To analyze the results of CT scan and X-ray plain film in diagnosis of rib fracture （RF）. Methods 62 patients who were diagnosed with RF in our hospital from June 2014 to June 2015 were enrolled in this study. X-ray and CT scans were used to diagnose. The diagnosis rate and misdiagnosis rate of the two methods were judged. Results The diagnostic rate of RF on the diaphragm by spiral CT was significantly higher than that by X-ray, and the misdiagnosis rate by spiral CT was significantly lower than that by X-ray film. The data were satisfied with,and the dif- ference was statistically significant（P〈0.05）. The diagnostic rate of subphrenic RF by spiral CT was significantly higher than that by the X-ray, and the misdiagnosis rate by spiral CT was significantly lower than that by the X-ray film. The data were satisfied,and the difference was statistically significant（P〈0.05）. Conclusion Compared with X-ray, CT imaging technique used in diagnosing RF patients can obtain higher detection rate of fracture and avoid misdiagnosis as much as possible,which is worthy of promotion.