飞利浦Brilliance 64排螺旋CT在急诊外伤高度怀疑骨折患者中的应用价值分析

To Analyze the Application Value of Philips Brilliance 64-Slice Spiral CT in Emergency Trauma Patients with Highly Suspected Fracture

目的:研究飞利浦Brilliance 64排螺旋CT在急诊外伤高度怀疑骨折患者中的应用价值。方法:选取医院从2020年1月~2023年1月收治的242例急诊外伤高度怀疑骨折患者作为研究对象。分别对所有受试者开展飞利浦Brilliance 64排螺旋CT检查以及数字X射线摄影术平片(DR)检查。以病理检查结果为金标准,分析上述两种影像学检查方式诊断在急诊外伤高度怀疑骨折患者的效能。对比两种影像学检查方式对不同类型骨折患者的检出率以及影像学特征表现。结果:将病理检查结果视作金标准,CT检查的灵敏度、特异度、准确度分别为97.96%、96.84%、97.52%,均高于DR检查的81.63%、82.11%、81.82%(P<0.05)。CT检查对骨折片突入椎管、脊柱曲度异常变化、骨折片移位、椎管容积异常及椎管狭窄的检出率均高于DR检查(P<0.05)。CT检查对肋骨骨折的检出率高于DR检查(P<0.05)。结论:飞利浦Brilliance 64排螺旋CT诊断急诊外伤高度怀疑骨折患者的效能较佳,尤其是在诊断肋骨骨折方面效果显著。

Objective:To study the Philips Brilliance 64-slice spiral CT in emergency trauma patients with fracture of highly suspicious of application value.Methods:To select hospital from January 2020 to January 2023 hospital treated 242 cases of emergency trauma patients with fracture of highly suspected as the research object.Respectively on all subjects for Philips Brilliance 64-slice spiral CT examination and X-ray digital X-ray photography(DR)inspection.In pathologic examination results as the gold standard,analysis of the above two kinds of diagnostic imaging examination way in emergency trauma highly doubt the effectiveness of fracture patients.The detection rate and imaging characteristics of the two imaging methods in patients with different types of fractures were compared.Results:Taking pathological examination as the gold standard,the sensitivity,specificity and accuracy of CT examination were 97.96%,96.84%and 97.52%,respectively,which were higher than those of DR examination(81.63%,82.11%and 81.82%)(P<0.05).CT examination on fracture into vertebral canal,abnormal curvature of the spine change,fracture shift and abnormal vertebral canal volume and the detection rate of cervical stenosis were higher than DR check(P<0.05).The detection rate of rib fractures by CT examination was higher than that by DR examination(P<0.05).Conclusion:Philips Brilliance 64-slice spiral CT in the diagnosis of emergency trauma fractures in patients with highly suspected performance better,especially in the diagnosis of rib fracture effect is remarkable.