摘要
为探讨CT冠位扫描法对胫骨髁间隆突隐性骨折的诊断价值。对 93例临床可疑胫骨髁间隆突骨折患者进行膝关节X线正侧位片、CT冠位、轴位扫描检查 ,双盲法诊断统计分析。结果X线诊断正确 82例 ,正确率 88.7% ;X线诊断漏诊 11例 ,漏诊率11.83%。CT轴扫诊断正确 86例 ,正确率 92 .4 7% ;CT轴扫漏诊 7例 ,漏诊率 7.5 3%。CT冠扫诊断正确 92例 ,正确率 98.92 % ;CT冠扫漏诊 1例 ,漏诊率 1.0 8%。 93例中胫骨髁间隆突隐性骨折 11例 ,X线片全部漏诊 ,CT轴扫漏诊 7例。表明X线平片检查是胫骨髁间隆突骨折的首选检查方法 ,CT冠位扫描是胫骨髁间隆突隐性骨折的重要检查手段。
The objective of the paper is to study the diagnostic value of coronary CT scannings to occult fracture of tibial intercondylar eminence (TIE). Ninety-three cases of suspected TIE fracture were examined by anteroposterior and lateral X-rays,coronary and axial CT scannings of the knee; and the diagnostic results were counted and analyzed by double blind method. The results showed 82 correct diagnoses (88.7 %) and 11 missed diagnoses (11.83 %) in X-ray examinations; 86 correct diagnoses (92.47 %) and 7 missed diagnoses (7.53 %) in axial CT scannings; 92 correct diagnoses (98.92 %) and one missed diagnosis (1.08 %) in coronary CT scannings. Of 93 cases,11 were occult TIE fracture,all of them were missed-diagnosed by X-ray examinations,and so were 7 of them by axial CT scanings,suggesting that X-ray examinations are the first-selective diagnostic method for TIE fracture,and coronary CT scannings are the important examining method for occult TIE fracture.
出处
《中医正骨》
2003年第4期17-17,10,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
