急诊CT检查在膝关节骨折及韧带损伤中的临床应用价值

Clinical value of emergency CT examination in knee fracture and ligament injury

目的探讨急诊电子计算机断层扫描(Computed Tomography,CT)检查膝关节骨折及韧带损伤的临床价值。方法选取2023年7月至2024年3月沂南攀峰骨科医院收治的102例膝关节骨折及韧带损伤患者为研究对象,所有患者均采用急诊CT与X线检查。比较CT与X线检查对膝关节骨折及韧带损伤的检出情况。结果102例患者均确诊膝关节骨折,CT对膝关节骨折检出率为99.02%,显著高于X线检查的69.61%,差异有统计学意义(P<0.001);102例患者中,有77例伴韧带损伤,其中CT对韧带损伤检出率为77.92%,显著高于X线检查的22.08%,差异有统计学意义(P<0.001)。结论采用急诊CT检查膝关节骨折及韧带损伤的准确率较高,可广泛应用于急诊骨关节损伤检查中。

Objective To investigate the value of emergency Computed Tomography in the examination of knee fractures and ligament injuries.Methods 102 patients with knee fracture and/or ligament injury admitted to Yinan PanfengOrthopaedic Hospital from July 2023~March 2024 were selected,and all patients underwent emergency CT and X-ray examinations.The detection of knee fractures and ligament injuries by CT and X-ray was compared.Results All patients had knee fractures,and the detection rate of knee fractures by CT was 99.02%,which was significantly higher than that of X-ray(69.61%),and the difference was statistically significant(P<0.001).Among the 102 patients,77 patients had ligament injury,and the detection rate of ligament injury by CT was 77.92%,which was significantly higher than that of X-ray(22.08%),and the difference was statistically significant(P<0.001).Conclusion Emergency CT scan has a high detection rate in the examination of knee fractures and ligament injuries and can be widely used in the examination of emergency bone and joint injuries.