MSCT三维重建、数字化X线摄影对多发性肋骨骨折的诊断价值对比

Comparison on Diagnostic Value of Three-Dimensional Reconstruction of MSCT and Digital Radiography for Multiple Rib Fractures

目的对比MSCT三维重建、数字化X线摄影对多发性肋骨骨折的诊断价值。方法回顾性分析本院2017年5月至2019年9月收治的80例多发性肋骨骨折患者的临床资料。将数字化X线摄影及MSCT的诊断结果进行讨论和分析,对比经数字化X线摄影、MSCT检查对多发性肋骨骨折的诊断准确率。结果80例多发性肋骨骨折患者经数字化X线摄影诊断出65例,漏诊15例,诊断准确率为81.25%;经MSCT检查诊断出76例,漏诊4例,诊断准确率为95.00%。MSCT检查对多发性肋骨骨折的诊断准确率显著高于数字化X线摄影,两者比较差异具有统计学意义(P<0.05)。结论数字化X线摄影和MSCT检查均可有效地显示多发性肋骨骨折的影像学特点,但MSCT三维重建技术可多角度、立体、清晰地显示骨折情况,术后复查CT可全面评估手术效果。

Objective To compare the diagnostic value of three-dimensional reconstruction of MSCT and digital radiography for multiple rib fractures.Methods The clinical data of 80 patients with multiple rib fractures admitted to our hospital from May 2017 to September 2019 were retrospectively analyzed.The diagnostic results of digital radiography and MSCT were discussed and analyzed,and the diagnostic accuracy of multiple rib fractures by digital radiography and MSCT was compared.Results In the 80 patients with multiple rib fractures,65 were diagnosed by digital radiography and 15 were missed.The diagnostic accuracy was 81.25%.76 cases were diagnosed by MSCT and 4 cases were missed.The diagnostic accuracy was 95.00%.The diagnostic accuracy of MSCT in the diagnosis of multiple rib fractures was significantly higher than that of digital radiography.The difference was statistically significant(P<0.05).Conclusion Both digital radiography and MSCT examination can effectively display the imaging features of multiple rib fractures.However,MSCT three-dimensional reconstruction technology can display fractures from multiple angles,stereoscopically and clearly.Postoperative review of CT can comprehensively evaluate the surgical effect.