探讨肋骨骨折诊断中应用磁共振成像与多层螺旋CT 的效果

Efficacy of MRI and MSCT in the Diagnosis of Rib Fracture

目的观察肋骨骨折诊断中应用磁共振成像(Magnetic Resonance Imaging,MRI)与多层螺旋CT(Multi-slice Spiral Computed Tomography,MSCT)的效果。方法随机选取2020年4月—2022年3月高唐县中医院放射科收治的80例肋骨骨折患者为研究对象,经过临床综合诊断证实肋骨骨折共计170处,观察MRI与MSCT的诊断效能与诊断符合率。结果MSCT的灵敏度、准确性、漏诊率依次为98.82%、98.82%、1.18%,MRI的灵敏度、准确性,漏诊率依次为99.41%、99.41%%、0.59%,差异无统计学意义(χ^(2)=0.336、0.336、0.336,P均>0.05),MSCT和MRI阳性预测值一致,均为100.00%。结论肋骨骨折诊断中用MRI与MSCT均可以精准识别骨折位置,但MRI能够更加清晰地显示骨折处损伤情况,精准判断周围组织肿胀情况。

Objective To observe the effect of magnetic resonance imaging(MRI)and multi-slice spiral CT(MSCT)in the diagnosis of rib fracture.Methods A total of 80 patients with rib fractures admitted to the ra⁃diology department of Gaotang County Hospital of Traditional Chinese Medicine from April 2020 to March 2022 were randomly selected as the research objects.A total of 170 rib fractures were confirmed by clinical comprehensive diagnosis,and the diagnostic efficacy and diagnose accordance rate of MRI and MSCT were ob⁃served.Results The sensitivity,accuracy and missed diagnosis rate of MSCT were 98.82%,98.82%,1.18%,while the sensitivity and accuracy of MRI were 99.41%,99.41%,0.59%,respectively,and the differences were not statistically significant(χ^(2)=0.336,0.336,0.336,all P>0.05),MSCT and MRI positive predictive values were consistent,both were 100.00%.Conclusion Both MRI and MSCT can accurately identify the location of the fracture in the diagnosis of rib fracture,but MRI can more clearly show the damage at the fracture and accu⁃rately determine the swelling of the surrounding tissue.