MSCT对不同分型桡骨远端骨折的鉴别及与X线的对照研究

Differentiation of distal radius fractures with different subtypes by MSCT and comparative study with X-ray

目的探讨多层螺旋CT(MSCT)与X线对不同分型桡骨远端骨折的鉴别价值。方法选取84例不同分型桡骨远端骨折患者作为研究结象,对其分别使用MSCT和X线方式进行诊断,并比较两种诊断方法的准确性。结果 MSCT诊断无漏诊患者,诊断准确率为100.00%,X线诊断漏诊15例,诊断准确率为82.14%;MSCT诊断准确率高于X线,差异具有统计学意义(P<0.05)。结论使用MSCT对患者进行诊断的临床效果更佳,其准确度要远远超过X线诊断方法 ,但其还有不足之处,因此目前无法取代X线的临床应用地位。

Objective To explore the differentiatial value of distal radius fractures with different subtypes by multi-slice spiral CT （MSCT） and X - ray. Methods A total of 84 patients with distal different subtypes of radius fractures as study subjects, and they were diagnosed respectively by MSCT and X ray. The accuracy of two diagnostic methods was compared. Results There was no cases missed diagnosed by MSCT, with diagnostic accuracy as 100%, and there were 15 cases were missed by X-ray, with diagnostic accuracy as 82.14%. MSCT had higher diagnostic accuracy than X-ray, and the difference had statistical significance （P〈0.05）. Conclusion The clinical effect of using MSCT to diagnose patients is better, and its accuracy and precision are far more than X-ray diagnosis method, but there are still some shortcomings, so it can not replace the X-ray clinical application status.