X线与CT对于股骨粗隆间骨折诊断价值的比较分析

Comparative Analysis of X-ray and CT in the Diagnosis Value of Intertrochanteric Fractures

目的:探讨X线与CT对于股骨粗隆间骨折的临床诊断价值。方法:回顾性分析本院收治的股骨粗隆间骨折患者共65例为研究对象,所有患者均同时接受了数字化X线摄影(DR)与CT检查,均接受了手术治疗,最终确诊为股骨粗隆间诊断。评价两种影像学诊断方法的临床价值有无差异。结果:DR明确诊断骨折46例、可疑13例、漏诊6例,诊断的准确率为70.77%(46/65);CT明确诊断骨折60例、可疑4例、漏诊1例,诊断准确率为92.31%(60/65);CT诊断股骨粗隆间骨折的诊断准确率高于DR诊断的诊断准确率,χ^2=10.016,P=0.001,组间差异具有统计学意义。结论:CT检查应用于股骨粗隆间诊断的价值较DR检查的诊断价值更高。

Objective:To explore the clinical diagnostic value of X-ray and CT for femoral intertrochanteric fractures.Methods:A retrospective analysis was performed on 65 patients with intertrochanteric fractures treated in our hospital.All patients underwent digital X-ray photography(DR)and CT examination at the same time.Between diagnosis.Evaluate the clinical value of the two imaging diagnostic methods.Results:The DR clearly diagnosed 46 cases of fractures,13 suspicious cases,and 6 cases of missed diagnosis,the accuracy rate of diagnosis was 70.77%(46/65);CT clearly diagnosed 60 cases of fractures,4 suspicious cases,1 missed diagnosis,and the diagnosis accuracy rate was 92.31%(60/65);the diagnostic accuracy of CT diagnosis of intertrochanteric fractures is higher than that of DR diagnosis,χ^2=10.016,P=0.001,the difference between groups is statistically significant.Conclusion:The value of CT examination in diagnosis of intertrochanteric femoral is higher than that of DR examination.