透视下点片在诊断肋骨隐匿骨折中的优势  

The Superiority of Spot-Film under Fluoroscope in Diagnosing Costal Occult Fracture

作　　者：侯凯[1] 王家平[1] 刘力[2] 李卫东[1] 朱权胜[1] 李杰[1] 姜华[1] 

机构地区：[1]昆明医学院第二附属医院影像科,云南昆明650000 [2]解放军昆明总医院

出　　处：《实用放射学杂志》2011年第7期1055-1057,共3页Journal of Practical Radiology

摘　　要：目的 探讨透视下点片在诊断细微、隐匿肋骨骨折中的应用价值.方法 对78例胸部外伤患者均采取常规摄正位或正、侧、斜位片后,在数字胃肠透视机下观察外伤处或局部压痛点处肋骨的情况作点片,并随访,部分可疑骨折病例行肋骨CT三维成像定性.结果 透视监视下的肋骨点片共发现骨折169处,肋骨常规正、侧位片发现骨折 129 处,透视下点片发现肋骨隐匿骨折28例（误诊1例）,常规片为 15 例.结论 透视下点片对肋骨隐匿性骨折的诊断是一种可靠性的检查方法.Objective To study the value of spot-film under fluoroscope in diagnosing costal occult fractures. Methods 78 cases with chest trauma underwent radiography, including posterior-anterior, lateral and oblique positions, and the traumatic costal areas were also examined with spot-film under fluoroscope and followed-up. Some patients underwent 3D CT examinations. Results 169 and 129 costal fractures were detected by spot-films and conventional radiography respectively,occult fractures in 28 cases（hut 1 of them was misdiagnosed） and 15 cases were found by spot-films and conventional radiography. Conclusion Spot-film under fluoroscope is a reliable way in diagnosing occult costal fracture.

关 键 词：肋骨 隐匿骨折 透视 胸部外伤 

分 类 号：R683.1[医药卫生—骨科学] R561[医药卫生—外科学]