DR与MSCT后处理技术在鼻骨骨折的临床应用价值分析  

Analysis on Clinical Application Value of DR and MSCT Post-processing Techniques in Fracture of Nasal Bones

作　　者：沈亮[1] 张洪[1] 吴映儒 SHEN Liang;ZHANG Hong;WU Ying-ru(Department of Otorhinolaryngology,Dazhou Integrated Chinese and Western Medicine Hospital,Dazhou 63500,Sichuan Province,China)

机构地区：[1]四川省达州市中西医结合医院耳鼻咽喉头颈外科,四川达州63500

出　　处：《中国CT和MRI杂志》2020年第9期66-68,共3页Chinese Journal of CT and MRI

摘　　要：目的旨在探讨DR与MSCT后处理技术在鼻骨骨折的临床应用价值分析。方法选取我院2016年2月至2018年5月收治的鼻骨骨折患者73例。对所有患者均进行综合性检查,比较DR、CT两种检查方法对鼻骨骨折及骨折发生部位的诊断准确率、误诊、漏诊率。结果采用DR扫描对鼻骨骨折患者的诊断准确率为71.23%,进行CT扫描对鼻骨骨折患者的诊断准确率为95.89%,CT扫描的诊断准确率明显高于DR扫描诊断准确率(P<0.05)。DR对鼻骨骨折鼻额部的诊断准确率为71.42%(15/21),CT扫描对鼻骨骨折鼻额部的诊断准确率为100%(21/21);DR对鼻骨骨折鼻窦部的诊断准确率为72.72%(16/22),CT扫描对鼻骨骨折鼻窦部的诊断准确率为90.90%(20/22);DR对鼻骨骨折鼻颌部的诊断准确率为70.00%(21/30),CT扫描对鼻骨骨折鼻颌部的诊断准确率为96.66%(29/30)。CT扫描对鼻骨骨折部位诊断误诊、漏诊率为4.10%(3/73),DR扫描对鼻骨骨折部位诊断误诊、漏诊率为28.76%(21/73)(P<0.05)。结论对鼻骨骨折患者采取CT检查的方法比DR检查的诊断准确率更高,对骨折显示更为清晰,CT检查可为治疗方案的制定提供可靠的影像学基础。Objective To explore the clinical application value of DR and MSCT post-processing techniques in fracture of nasal bones.Methods 73 patients with nasal bone fractures admitted to our hospital from February 2016 to May 2018 were selected.A comprehensive examination was performed on all patients,and the diagnostic accuracy,misdiagnosis and missed diagnosis rate of fracture of nasal bones and fracture site were compared between DR and CT.Results The diagnostic accuracy of DR scan for patients with fracture of nasal bones was 71.23%.The accuracy of CT scan for patients with fracture of nasal bones was 95.89%.The diagnostic accuracy of CT scan was significantly higher than that of DR scans (P<0.05).The diagnostic accuracy of DR for fracture of nasal bones in the nasal and frontal part was 71.42% (15/21).The accuracy of CT scan for fracture of nasal bones in the nasal and frontal part was 100% (21/21).The diagnostic accuracy of DR for fracture of nasal bones in the nasal sinus was 72.72% (16/22).The accuracy of CT scan for fracture of nasal bones in the nasal sinus was 90.90% (20/22).The diagnostic accuracy of DR for fracture of nasal bones in the naso-rnaxillary part was 70.00% (21/30).The accuracy of CT scan for fracture of nasal bones in the naso-rnaxillary part was 96.66% (29/30).The misdiagnosis and missed diagnosis rate of CT scan for fracture site of fracture of nasal bones was 4.10% (3/73).The rate of misdiagnosis and missed diagnosis of DR scan for fracture site fracture of nasal bones was 28.76% (21/73) (P<0.05).Conclusion The CT examination of patients with nasal bone fractures is more accurate than the DR examination,and has a clearer show for the location of the fracture,which can provide a reliable imaging basis for the development of treatment options.

关 键 词：DR MSCT后处理技术 鼻骨骨折 应用价值 

分 类 号：R445.4[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]