三维重建技术与CT联合诊断肩胛骨疾病的价值分析

Value Analysis of Three-Dimensional Reconstruction Technology Combined with CT in Diagnosis of Scapular Diseases

目的:探讨三维重建技术与CT联合诊断肩胛骨疾病的价值。方法:将2021年1月~2023年12月在兴义市人民医院治疗的129例疑似肩胛骨骨折患者作为研究对象,均实施X射线检查和三维CT检查,将X射线检查作为对照组,三维CT检查作为观察组,以手术检查为金标准,对比两组的Ada-Miller分型检出率、骨折部位检出率、诊断效能。结果:观察组Ada-Miller分型在Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型检出率稍高于对照组,但组间差异不明显(P>0.05),但总检出率高于对照组(P<0.05);观察组肩胛冈、肩胛下角、外侧缘、内侧缘、冈上窝、冈下窝、喙突、肩盂、肩峰等部位检出率稍高于对照组,但组间差异不明显(P>0.05);观察组对肩胛骨骨折的诊断敏感度、特异度、准确度、阳性预测值、阴性预测值均高于对照组(P<0.05)。结论:三维重建技术与CT联合诊断肩胛骨疾病的价值显著,能明确骨折部位,提高对肩胛骨骨折不同Ada-Miller分型的检出率,提高对肩胛骨骨折的诊断效能。

Objective:To explore the value of three-dimensional reconstruction and CT in the diagnosis of scapular diseases.Methods:129 patients with suspected scapular fracture treated in Xingyi City People’s Hospital from January 2021 to December 2023 were taken as the research object,and all of them underwent X-ray examination and three-dimensional CT examination.X-ray as the control group and three-dimensional CT as the observation group,taking surgical examination as the gold standard,the detection rate of Ada-Miller classification,the detection rate of fracture site and the diagnostic efficiency were compared between the two groups.Results:The detection rate of Ada-Miller typing in the observation group was slightly higher than that in the control group(P>0.05),but the total detection rate was higher than that in the control group(P<0.05).The detection rate of scapular ridge,subscapular angle,lateral margin,medial margin,supraspinatus fossa,infraspinatus fossa,coracoid process,glenoid fossa and acromion in the observation group was slightly higher than that in the control group,but there was no significant difference between the two groups(P>0.05).The diagnostic sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the observation group were higher than those of the control group(P<0.05).Conclusion:Three-dimensional reconstruction combined with CT is of great value in the diagnosis of scapular diseases,which can identify the fracture site,improve the detection rate of different Ada-Miller types of scapular fractures and improve the diagnostic efficiency of scapular fractures.