高频超声对轻微肋骨骨折的诊断价值
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摘要
目的探讨高频超声对轻微肋骨骨折的诊断价值。方法选取我院收治的32例有胸部外伤史,临床高度怀疑为肋骨骨折但X线平片未见明显骨折的患者,回顾性分析其高频超声检查资料。结果本研究32例患者均用高频超声检查出骨折(共44处),骨折断端分离、错位约0.5～3.0 mm。其中前肋骨骨折20例(26处),有4例为2根肋骨均有1处骨折,有2例为1根肋骨2处骨折;腋段肋骨骨折5例(7处),有2例为2根肋骨均有1处骨折;后肋肋骨骨折7例(11处),有3例为2根肋骨均有1处骨折,有1例为1根肋骨2处骨折。结论高频超声具有操作简单、诊断快速准确、费用较低、无辐射、便于复查等优势,可作为诊断轻微肋骨骨折的一种重要检查方法甚至是首选检查方法,值得临床推广应用。
Objective To investigate the diagnostic value of high frequency ultrasound in mild rib fractures. Methods Thirty-two patients with the history of chest trauma and highly suspected rib fractures but no obvious fracture by X-ray plain were selected and the examination data of by high frequency ultrasound were retrospectively analyzed. Results All the 32 patients in this study were examined by high-frequency ultrasound for fractures(44 points). The fracture ends were separated and dislocated about 0.5-3.0 mm. Among them, there were 20 cases(26 points) of anterior rib fractures, in which4 cases had one fractures, and 2 cases had two fractures in one rib. There were 5 cases(7 points) of axillary rib fractures,in which 2 cases had one fractures in both ribs. There were 7 cases(11 points) of posterior rib fractures, in which 3 cases had one fractures in both ribs, and 1 case had two fractures in one rib. Conclusion High frequency ultrasound has the advantages such as simple operation, rapid and accurate diagnosis, low fee, no radiation, easy to review and so on. It can be used as an important examination method or even the preferred examination method for the diagnosis of mild rib fractures, and which is worthy of clinical popularization and application.
Objective To investigate the diagnostic value of high frequency ultrasound in mild rib fractures. Methods Thirty-two patients with the history of chest trauma and highly suspected rib fractures but no obvious fracture by X-ray plain were selected and the examination data of by high frequency ultrasound were retrospectively analyzed. Results All the 32 patients in this study were examined by high-frequency ultrasound for fractures(44 points). The fracture ends were separated and dislocated about 0.5-3.0 mm. Among them, there were 20 cases(26 points) of anterior rib fractures, in which4 cases had one fractures, and 2 cases had two fractures in one rib. There were 5 cases(7 points) of axillary rib fractures,in which 2 cases had one fractures in both ribs. There were 7 cases(11 points) of posterior rib fractures, in which 3 cases had one fractures in both ribs, and 1 case had two fractures in one rib. Conclusion High frequency ultrasound has the advantages such as simple operation, rapid and accurate diagnosis, low fee, no radiation, easy to review and so on. It can be used as an important examination method or even the preferred examination method for the diagnosis of mild rib fractures, and which is worthy of clinical popularization and application.
引文
[1]蒋秀文.X线胸片与DR在肋骨骨折中的诊断价值对比[J].基层医学论坛,2016,20(10):1396-1397.
[2]罗庆华.高频超声对肋骨骨折的临床诊断价值[J].医学理论与实践,2017,30(13):1984-1985.
[3]古旸,何芳,金兰,等.高频超声与另外三种影像学检查方法诊断肋骨及肋软骨骨折的对比分析[J].创伤外科杂志,2016,18(10):630-631.
[4]黄丽,高峰,罗庆华.高频超声在急诊肋骨及肋软骨骨折中的临床应用[J].中国医学物理学杂志,2018,35(1):106-109.
[5]魏文兵,侯冬梅,翟玉馨.高频超声诊断CT三维重建漏诊肋骨骨折1例[J].中华超声影像学杂志,2016,25(8):671.
[6]张雷,臧海军,庞国庆,等.高频超声与X线和CT三维成像在肋骨骨折诊断中的比较研究[J].河北医药,2018,40(3):437-439.
[7]刘金锋,解晓谱,郭红娟,等.高频超声在肋骨骨折内固定术中的应用价值[J].中华超声影像学杂志,2016,25(4):364-365.
[2]罗庆华.高频超声对肋骨骨折的临床诊断价值[J].医学理论与实践,2017,30(13):1984-1985.
[3]古旸,何芳,金兰,等.高频超声与另外三种影像学检查方法诊断肋骨及肋软骨骨折的对比分析[J].创伤外科杂志,2016,18(10):630-631.
[4]黄丽,高峰,罗庆华.高频超声在急诊肋骨及肋软骨骨折中的临床应用[J].中国医学物理学杂志,2018,35(1):106-109.
[5]魏文兵,侯冬梅,翟玉馨.高频超声诊断CT三维重建漏诊肋骨骨折1例[J].中华超声影像学杂志,2016,25(8):671.
[6]张雷,臧海军,庞国庆,等.高频超声与X线和CT三维成像在肋骨骨折诊断中的比较研究[J].河北医药,2018,40(3):437-439.
[7]刘金锋,解晓谱,郭红娟,等.高频超声在肋骨骨折内固定术中的应用价值[J].中华超声影像学杂志,2016,25(4):364-365.