摘要
目的:分析多层螺旋CT诊断急性下肢关节隐匿性骨折的应用价值。方法:选取2020年12月~2021年12月本院收治的50例急性下肢关节创伤患者,所有患者均行DR平片诊断检查、多层螺旋CT诊断检查。比较不同诊断检查后的检查结果、阳性检出率。结果:多层螺旋CT诊断检查结果显示46例隐匿性骨折患者,4例非隐匿性骨折患者;46例隐匿性骨折患者中髋臼骨折、股骨头骨折、髂骨骨折、后踝骨折、跟骨骨折各有20例、14例、7例、3例、2例。DR平片诊断检查结果显示有27例隐匿性骨折患者,有23例非隐匿性骨折患者;27例隐匿性骨折患者中髋臼骨折、股骨头骨折、髂骨骨折、后踝骨折、跟骨骨折各有12例、8例、4例、2例、1例。多层螺旋CT诊断检查的阳性检出率高于DR平片诊断检查(P<0.05)。结论:急性下肢关节创伤患者应用多层螺旋CT检查能够提高隐匿性骨折的阳性检出率,可为后期临床治疗提供参考依据,诊断意义较高。
Objective:To analyze the application value of multi-slice spiral CT in the diagnosis of acute occult fractures of lower limb joints.Methods:50 patients with acute lower limb joint trauma treated in our hospital from December 2020 to December 2021 were selected.All patients underwent DR plain film diagnosis and multi-slice spiral CT diagnosis.The test results and positive detection rates after different diagnostic tests were compared.Results:The results of multi-slice spiral CT showed 46 patients with occult fracture and 4 patients with non occult fracture;Among 46 patients with concealed fracture,there were 20 cases of acetabular fracture,14 cases of femoral head fracture,iliac bone fracture,posterior malleolar fracture,and calcaneal fracture,respectively,7 cases,3 cases,and 2 cases.DR plain film showed that there were 27 patients with occult fracture and 23 patients with non occult fracture;Among the 27 patients with concealed fractures,there were 12 cases of acetabular fracture,8 cases of femoral head fracture,iliac fracture,posterior malleolar fracture and calcaneal fracture,4 cases,2 cases and 1 case respectively.The positive detection rate of multi-slice spiral CT was higher than that of DR plain film(P<0.05).Conclusion:The application of multi-slice spiral CT in patients with acute lower limb joint trauma can improve the positive detection rate of occult fracture,provide reference basis for later clinical treatment,and have high diagnostic significance.
作者
赖晓晖
LAI Xiao-hui(Department of Orthopedics,People’s Hospital of Xunwu County,Jiangxi Province,Jiangxi Ganzhou 342200)
出处
《中国医疗器械信息》
2022年第21期70-72,共3页
China Medical Device Information