| 姚越,杜北珏.急诊与复查多层螺旋CT对肋骨骨折诊断价值的对比分析[J].安徽医药,2019,23(6):1128-1130. |
| 急诊与复查多层螺旋CT对肋骨骨折诊断价值的对比分析 |
| Comparative analysis of the value of MSCT in emergency and re-examination for the diagnosis of rib fracture |
| 投稿时间：2017-03-23 |
| DOI： |
| 中文关键词: 肋骨骨折 体层摄影术 X线计算机 |
| 英文关键词: Rib fracture Tomography X-ray computer |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨急诊多层螺旋CT(MSCT)对肋骨骨折的诊断价值及限度。方法 回顾性分析2014年10月至2016年7月安徽省第二人民医院67例肋骨骨折病人急诊(创伤3 d内)MSCT与4周左右复查MSCT的影像资料,记录两次检查的诊断结果。采用Wilcoxon配对符号秩和检验比较两次检查诊断结果的差异。结果 急诊MSCT诊断肋骨骨折数291处,其中完全性骨折187处,不完全性骨折104处；复查MSCT诊断肋骨骨折数334处,其中完全性骨折203处,不完全性肋骨骨折131处。以复查MSCT为标准,急诊MSCT对肋骨骨折的检出率为87.12%(291/334)。两次诊断在肋骨骨折总数、完全性骨折及不完全性骨折数方面均差异有统计学意义(Z=-4.35、-2.94、-3.63,P=0.000、0.003、0.000)。结论 MSCT是肋骨骨折诊断的重要手段,但急诊MSCT对肋骨骨折诊断存在着一定的限度,肋骨骨折病人复查MSCT是有必要的。 |
| 英文摘要: |
| Objective To explore the diagnostic value and limitations of multi-slice spiral computed tomography (MSCT) in emergency for rib fracture.Methods The imaging data of 67 cases with rib fracture diagnosed by MSCT in emergency and four-week-later re-examination in Anhui No.2 Provincial People's Hospital from October 2014 to July 2016 were retrospectively analyzed.The diagnosis results of the two examinations were recorded,and the difference of results was compared by Wilcoxon matched-pairs signed-ranks test.Results Totally 291 rib fractures were detected by emergency MSCT,among which 187 were complete fractures and the other 104 were incomplete fractures,while 334 rib fractures were detected by MSCT in re-examination,among which 203 were complete fractures and the other 131 were incomplete fractures.Taking the results of MSCT in re-examination as the benchmark,the detection rate of rib fracture by emergency MSCT was 87.12% (291/334).The two diagnoses showed great statistical significance in terms of the total number of rib fractures,the number of complete fractures and the number of incomplete fractures (Z=-4.35,-2.94,-3.63,P=0.000,0.003,0.000).Conclusion MSCT is an important means to diagnose rib fractures,but there are still limitations of MSCT for the diagnosis of rib fractures in emergency.It is necessary for patients with rib fractures to carry out MSCT re-examinations. |
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