膈下肋骨骨折的X线摄影方法对比研究  

The comparative study of radiography methods in diagnosing subphrenic rib fracture

作　　者：陈华平[1] 杜云[1] 史洪平[1] 李英汉[1] 吴小平[1] 祝朝慧[1] 彭建清[1] 黄卫[1] 张俊安[1] 

机构地区：[1]广东省汕头大学医学院附属粤北人民医院影像科,广东韶关512026

出　　处：《吉林医学》2009年第17期1914-1915,共2页Jilin Medical Journal

摘　　要：目的:探讨膈下肋骨骨折的X线摄影方法,以提高膈下肋骨骨折的X线诊断准确性。方法:对150例临床拟诊肋骨骨折的外伤患者进行双能量减影(dual-energy subtraction,DES)、常规胸片、常规腹平片摄影检查。比较三种方法对膈下肋骨骨折的显示能力。分别计算三种方法的敏感性。结果:对于所有膈下肋骨骨折,常规腹平片摄影法显示膈下肋骨骨折73处,DES显示41处,常规胸片显示22处,常规腹平片摄影法与另两种方法之间的差异具有统计学意义(P<0.01)。结论:常规腹平片摄影能明显提高膈下肋骨骨折的检出率,从而提高了放射诊断质量。Objective To discuss the radiography methods in diagnosing subphrenic rib fracture and improve the diagnostic accurasy. Method Total 150 cases of traumatic patients with suspected rib fracture were performed with conventional chest X - ray tomography, DES and abdominal X - ray tomography. The displaying performance of abdominal X - ray tomography was compared with the other methods. Separately,the sensitivity of three methods were calculated. Chi- square analysis was made by SPSS 12.0 software. Results To the total subphrenic rib fracture sites ,73 sites were showed by conventional abdominal X -ray tomography ,41 sites were showed by DES ,22 sites were showed by chest X -ray tomography. There was significant difference between the two methods （Х^2 = 77.33 ,P 〈 0. 01 ）. Conclusion The detection rate of subphrenie rib fracture is significantly improved with conventional abdominal X - ray tomography. The quality of diagnostic radiology is improved.

关 键 词：膈下肋骨 减影技术 对比研究 放射摄影术 

分 类 号：R816.8[医药卫生—放射医学]