MSCT对不同分型桡骨远端骨折的鉴别及与X线的对照研究  

A Control Study of MSCT and X-ray in the Differentiation of Different Types of Distal Radius Fractures

作　　者：黄吉利[1] 潘捷[1] 赵鸿声[1] 

机构地区：[1]江汉大学附属医院骨科,湖北武汉430015

出　　处：《中国CT和MRI杂志》2016年第3期120-123,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨MSCT(多层螺旋CT)在桡骨远端骨折分型评估中的应用价值,比较X线与MSCT对不同分型桡骨远端骨折的鉴别价值。方法选取我院收治的80例桡骨远端骨折患者作为研究对象,均接受腕关节正侧X线摄片及MSCT检查,参照AO标准作骨折分型,比较X线与MSCT在不同分型桡骨远端骨折鉴别中的应用价值。结果 80例患者经X线确诊为骨折者70例(87.50%),漏诊10例,其中A、B、C型分别为26例(37.14%)、24例(34.29%)、20例(28.57%);MSCT共检出80例骨折,A、B、C型分别为19例(23.75%)、31例(38.75%)、30例(37.50%)。MSCT检出率为100.00%,明显高于X线的87.50%,差异有统计学意义(χ2=10.6667,P<0.05)。结论 MSCT对桡骨远端骨折的鉴别诊断及分型更为细致及准确,对较复杂的关节内骨折诊断价值较高。Objective To investigate the application value of MSCT（multi-slice spiral CT） in the evaluation of distal radius fractures classification, and compare with the X-ray. Methods 80 patients with distal radius fractures in our hospital were selected as the study object. All patients underwent X-ray radiography scanning of the positive side of the wrist joint. Then, MSCT was performed. Referring to AO standard, fracture classification was performed. The application value of X-ray and MSCT in the differentiation of different types of distal radius fractures was compared. Results Results Among the 80 cases of patients, 70 cases（87.50%） were diagnosed as fractures by X-ray and 10 cases were missed diagnosed among whom patients with type A, B and C fractures were 26 cases（37.14%）, 24 cases（34.29%） and 20 cases（28.57%） respectively; 80 cases with fractures were diagnosed by MSCT and patients with type A, B and C fractures were 19 cases（23.75%）, 31 cases（38.75%） and 30 cases（37.50%） respectively. The detection rate of MSCT（100.00%） was significantly higher than that of X-ray（87.50%） with statistically significant（χ2=10.6667, P〈0.05）. Conclusion MSCT is more detailed and accurate for differential diagnosis and classification of distal radius fractures. It is of relatively higher value in the diagnosis of more complex intra-articular fractures.

关 键 词：桡骨远端骨折 骨折分型 MSCT X线 

分 类 号：R274.1[医药卫生—中医骨伤科学]