CT联合X线在肩胛骨骨折诊断及疗效评估中的应用意义研究
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摘要
目的分析CT联合X线检查在肩胛骨骨折诊断及疗效评估中的应用意义。方法本研究所选60例肩胛骨骨折患者均为我院2016年5月至2018年2月所收治,全部患者均给予X线检查、CT联合X线检查,观察分析检查结果。结果 CT联合X线检查的诊断准确率显著高于X线检查,比较差异有统计学意义(P <0.05)。在对肩胛骨骨折患者进行诊断时,采用螺旋CT联合X线检查,能对骨折位置、骨折数目、骨折移位情况和骨折范围进行准确探查,对于不存在显著移位的非粉碎性骨折患者来讲,其影像学表现则为骨折线。通过复查能对骨折复位和钢板固定情况进行准确探查。结论 CT联合X线检查不但能对肩胛骨骨折进行准确诊断,同时还能对术后疗效进行准确评估,值得临床推广。
Objective: to analyze the significance of CT combined with X-ray examination in the diagnosis and evaluation of scapular fracture. Methods: 60 cases of scapular fractures were selected from May 2016 to February 2018 in our hospital. All patients were given X-ray examination,CT combined with X-ray examination,and the results were observed and analyzed. Results: the diagnostic accuracy of CT combined with X-ray examination was significantly higher than that of X-ray examination,and the difference was statistically significant( P < 0. 05). In patients with scapular fractures were diagnosed by spiral CT,combined with X-ray examination,to fracture location,fracture number,fracture and displacement range accurately for exploration of fracture,there is no significant shift of the non comminuted fracture patients,the imaging findings for fracture line. Through the reexamination,the fracture reduction and the plate fixation can be detected accurately. Conclusion: CT combined with X-ray examination can not only diagnose the fracture of the scapula,but also evaluate the curative effect accurately,which is worthy of clinical popularization.
Objective: to analyze the significance of CT combined with X-ray examination in the diagnosis and evaluation of scapular fracture. Methods: 60 cases of scapular fractures were selected from May 2016 to February 2018 in our hospital. All patients were given X-ray examination,CT combined with X-ray examination,and the results were observed and analyzed. Results: the diagnostic accuracy of CT combined with X-ray examination was significantly higher than that of X-ray examination,and the difference was statistically significant( P < 0. 05). In patients with scapular fractures were diagnosed by spiral CT,combined with X-ray examination,to fracture location,fracture number,fracture and displacement range accurately for exploration of fracture,there is no significant shift of the non comminuted fracture patients,the imaging findings for fracture line. Through the reexamination,the fracture reduction and the plate fixation can be detected accurately. Conclusion: CT combined with X-ray examination can not only diagnose the fracture of the scapula,but also evaluate the curative effect accurately,which is worthy of clinical popularization.
引文
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[9]潘鸿,侯春晓,王云华,等. 64层螺旋CT与X线摄影对胸廓骨折的诊断价值[J].医学影像学杂志,2014,24(12):2241-2243.
[10]吕荷荣,刘克昌. 16层螺旋CT及三维重建技术在肩胛骨骨折诊断中的价值[J].中医正骨,2014,26(10):40-42.
[2]张关西,王利平.螺旋CT三维重建技术与X线在肩胛骨骨折术前评估中的应用对比研究[J].河南医学研究,2017,26(04):689-690.
[3]孙贺,李哲,刘正蓬,等.对比多层螺旋CT三维重建技术和X线在肩胛骨骨折术前及痊愈评估中的应用价值[J].中国CT和MRI杂志,2016,14(07):121-123.
[4]杨利,靳云乔. X线拍片中不同体位对肩胛骨喙突骨折诊断效能分析[J].世界最新医学信息文摘,2016,16(51):148-149.
[5]张伟.普通X线和三维CT对肩胛骨骨折的诊断及临床应用价值[J].影像技术,2016,28(01):6-8.
[6]宦宣容,蒋刚,刘辉建,等.数字化X线摄影与多排螺旋CT对肩胛骨骨折OTA最新分类的诊断价值比较[J].中国医学前沿杂志(电子版),2015,7(12):40-43.
[7]衣晓明,张兴华,张桦,等. 16排CT扫描对胸部外伤诊断价值分析[J].当代医学,2015,21(16):57-58.
[8]张翠玲. X线摄片和CT检查在胸部创伤中的影像学应用分析[J].内蒙古中医药,2015,34(03):62-63.
[9]潘鸿,侯春晓,王云华,等. 64层螺旋CT与X线摄影对胸廓骨折的诊断价值[J].医学影像学杂志,2014,24(12):2241-2243.
[10]吕荷荣,刘克昌. 16层螺旋CT及三维重建技术在肩胛骨骨折诊断中的价值[J].中医正骨,2014,26(10):40-42.