普通X线平片与CT检查在骨科外伤中的诊断价值分析
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摘要
目的探究临床上在对骨科外伤患者的诊断中采用普通X线平片与CT检查诊断的价值。方法本次研究选取86例我院骨科收治的外伤患者作为研究对象,患者均于2017年1月—2018年1月在我院就诊,所有患者均先接受普通X线平片检查,再接受CT检查,对两种诊断方法的诊断价值进行比较。结果 CT检查检出率(93.02%)明显高于X线平片检出率(66.28%),CT检查对检出部位的检出率均明显高于X线平片检查,两种诊断方法在肋骨外伤、脊柱外伤比较差异有统计学意义(P <0.05)。结论在对骨科外伤患者的诊断中,为提高诊断的准确性应采用CT检查,其检出率更高,可对骨折部位进行准确的诊断,利于后期对患者采取有效的治疗。
Objective To explore the clinical value of plain X-ray and CT in the diagnosis of orthopedic trauma. Methods 86 patients with trauma in department of orthopedics in our hospital were selected as the research object. All patients were treated in our hospital from January 2017 to January 2018. All patients received plain X-ray examination before CT examination. The diagnostic value of the two methods was compared. Results The detective rate of CT examination(93.02%) was significantly higher than that of X-ray plain film(66.28%). The detective rate of CT examination was significantly higher than that of X-ray plain film. There were significant differences between the two diagnostic methods in rib trauma, spinal trauma(P < 0.05). Conclusion In the diagnosis of orthopaedic trauma patients, CT examination should be used to improve the accuracy of diagnosis. Its detection rate is higher, and it can accurately diagnose the fracture site, which is conducive to effective treatment of patients in the later stage.
Objective To explore the clinical value of plain X-ray and CT in the diagnosis of orthopedic trauma. Methods 86 patients with trauma in department of orthopedics in our hospital were selected as the research object. All patients were treated in our hospital from January 2017 to January 2018. All patients received plain X-ray examination before CT examination. The diagnostic value of the two methods was compared. Results The detective rate of CT examination(93.02%) was significantly higher than that of X-ray plain film(66.28%). The detective rate of CT examination was significantly higher than that of X-ray plain film. There were significant differences between the two diagnostic methods in rib trauma, spinal trauma(P < 0.05). Conclusion In the diagnosis of orthopaedic trauma patients, CT examination should be used to improve the accuracy of diagnosis. Its detection rate is higher, and it can accurately diagnose the fracture site, which is conducive to effective treatment of patients in the later stage.
引文
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[13]谢伟玲.多层螺旋CT与彩色多普勒超声结合在中青年椎动脉型颈椎病诊断中的应用价值[J].国际医药卫生导报,2015,21(13):1809-1811,1814.
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[15]王兵萍,吴涛,朱海峰,等.多排螺旋CT在胸部外伤诊断中的价值分析[J].首都食品与医药,2016,23(16):70-71.
[2]蒋钦跃.多排螺旋CT诊断骨科外伤的应用价值探讨[J].医学影像,2018,18(13):140.
[3]梁昱,张晓琴.多排螺旋CT冠状动脉成像研究进展[J].CT理论与应用研究,2016,25(6):725-735.
[4]谢丽锋.脊柱外伤磁共振成像CT及数字化X线摄影术诊断价值对比分析[J].实用医学影像杂志,2016,17(5):443-444.
[5]吴理胤.普通X线平片与CT检查在骨科外伤中的诊断价值[J].中国实用医药,2014,9(10):77-78.
[6]吴震山.探讨普通X线平片与CT检查在骨科外伤中的诊断价值[J].中国医药指南,2015,13(28):168.
[7]张天录.急性踝关节损伤患者X线检查分析[J].实用中西医结合临床,2015,15(8):67,71.
[8]周玮,李建有,何剑,等.螺旋CT三维重建技术在踝关节骨折术前分型和术后评估中的应用价值[J].医学影像学杂志,2015,25(12):2220-2224.
[9]杨进军,何桂茹,班允清.磁共振和双源C T在膝关节外伤中的诊断价值对比[J].中外医疗,2015,34(28):194-195.
[10]莫继钦.三维容积重建与最大密度投影在骨科CT中的应用[J].临床医药文献电子杂志,2016,3(57):11402-11403.
[11]杨显泉.脊椎骨科应用螺旋CT三维成像技术对脊髓损伤患者诊断的应用观察[J].现代诊断与治疗,2016,27(19):3613-3614.
[12]王炳良,刘晓波,丁雪梅,等.骨关节外伤应用螺旋CT三维重建成像的临床效果分析[J].医学信息,2016,29(2):253-254.
[13]谢伟玲.多层螺旋CT与彩色多普勒超声结合在中青年椎动脉型颈椎病诊断中的应用价值[J].国际医药卫生导报,2015,21(13):1809-1811,1814.
[14]孙冬梅.多层螺旋CT与核磁共振成像联合诊断腕关节损伤的临床应用研究[J].中国实用医刊,2016,43(8):61-62.
[15]王兵萍,吴涛,朱海峰,等.多排螺旋CT在胸部外伤诊断中的价值分析[J].首都食品与医药,2016,23(16):70-71.