16层螺旋CT三维重建与DR平片对外伤性肋骨骨折的诊断价值分析  

The value of 16 slice spiral CT three-dimensional reconstruction and DR plain film in the diagnosis of traumatic rib fracture

作　　者：张筱双[1] 

机构地区：[1]广西医科大学第一附属医院放射科,广西南宁530021

出　　处：《吉林医学》2017年第5期845-846,共2页Jilin Medical Journal

摘　　要：目的:观察16层螺旋CT三维重建与DR平片对外伤性肋骨骨折的诊断价值。方法:随机选择外伤性肋骨骨折患者80例进行临床研究,均经16层螺旋CT和DR平片检查。以后续治疗或者手术结果为最终诊断标准,观察患者通过16层螺旋CT三维重建与DR平片检查的准确性,并进行比较。结果:与最终诊断结果相比较,80例患者经CT检查三维重建后,检出率为92.5%,漏诊率为7.5%。DR检查的检出率为77.50%,漏诊率为22.50%。16层螺旋CT三维重建的检出率明显高于DR检查,而漏诊率明显低于DR检查,且均具有统计学差异(P<0.05)。结论:16层螺旋CT三维重建对外伤性肋骨骨折检查的准确性明显高于DR平片检查,能够为后续治疗提供准确的治疗依据。Objective To observe the value of 16 slice spiral CT three - dimensional reconstruction and DR plain film in the diagnosis of traumatic rib fracture. Method 80 cases of traumatic rib fracture patients were randomly selected in our hospital for clinical research,all patients were diagnosis by 16 slice spiral CT and DR plain film examination. After the follow - up treatment or surgical results for the final diagnostic criteria, patients were observed by 16 slice spiral CT three - dimensional reconstruction in the accuracy of DR plain film examination,and compared. Results Compared with the final diagnosis results,80 cases of pa-tients with CT after three - dimensional reconstruction, the detection rate was 92. 5 % , the missed diagnosis rate was 1 . 5 % . The detection rate of DR was 77. 50% ,and the missed diagnosis rate was 22. 5 0 % . The detection rate of three - dimensional recon-struction of 16 slice spiral CT was significantly higher than that of DR,and the rate of missed diagnosis was significantly lower than that of DR,and the difference was statistically significant （P 〈0. 05）. Conclusion The accuracy of 16 slice spiral CT three -dimensional reconstruction in the treatment of traumatic rib fracture is significantly higher than that of DR plain film examina-tion.

关 键 词：16层螺旋CT 三维重建 DR平片 外伤 肋骨骨折 

分 类 号：R683[医药卫生—骨科学] R816.8[医药卫生—外科学]