DR平片和多层螺旋CT用于外伤性脊柱骨折的临床诊断价值

Clinical Value of DR Plain Film and Multislice Spiral CT in Traumatic Spinal Fracture

目的:探讨DR与多层螺旋CT(MSCT)诊断脊柱骨折的诊断价值。方法:回顾分析2018年1月~2019年6月在本院接受手术治疗的84例外伤致脊柱骨折患者的DR、MSCT结果,记录骨折的影像学表现及显影清晰程度的积分,积分越高,则诊断越明确。结果:84例脊柱骨折患者中,DR检出71例,MSCT检出79例,经卡方检验差异有统计学意义(P<0.05)。DR诊断骨折线错位、椎体压缩骨折方面与MSCT相比差异无明显统计学意义(P>0.05),而诊断脊柱附件骨折及椎管损伤DR与MSCT差异有统计学意义(P<0.05)。DR平均积分为(5.7±1.1)分,MSCT平均积分为(8.3±2.5)分,经t检验,二者的差异有统计学意义(P<0.05)。结论:DR在显示椎体骨折线和椎体压缩方面与MSCT相当,但是MSCT对于脊柱附件骨折、椎管损伤的显示优于DR。

Objective:To explore the diagnostic value of DR and MSCT in spinal fracture.Methods:The DR and MSCT results of 84 patients with spinal fracture caused by exceptional injuries who received surgical treatment in our hospital from January 2018 to June 2019 were retrospectively analyzed,and the imaging manifestations of the fracture and the score of the degree of clarity of development were recorded.The higher the score,the more definite the diagnosis.Results:Among the 84 patients with spinal fracture,71 were detected by DR and 79 by MSCT,and the difference was statistically significant by chi-square test(P<0.05).There was no statistically significant difference between DR and MSCT in the diagnosis of fracture line dislocation and vertebral compression fracture(P>0.05),while there was a statistically significant difference between DR and MSCT in the diagnosis of spinal accessory fracture and spinal canal injury(P<0.05).The average score of DR was(5.7±1.1),and the average score of MSCT was(8.3±2.5).After t test,the difference between the two was statistically significant(P<0.05).Conclusion:DR is comparable to MSCT in the display of vertebral fracture line and vertebral compression,but MSCT in the display of spinal adnexal fractures and spinal canal injuries due to DR.