DR、MSCT检查对不同分型儿童桡骨远端骨折的鉴别诊断价值对比  

Comparison on Value of DR and MSCT in the Differential Diagnosis of Distal Humeral Fractures of Different Classifications in Children

作　　者：唐菁华[1] 孙秀勤[1] 王建军[1] TANG Jing-hua;SUN Xiu-qin;WANG Jian-jun(Department of Pediatrics,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China)

机构地区：[1]川北医学院附属医院儿科,四川南充637000

出　　处：《中国CT和MRI杂志》2020年第11期148-149,165,共3页Chinese Journal of CT and MRI

基　　金：四川省医学会基金项目(项目编号:S17019)。

摘　　要：目的对比DR、MSCT检查对不同分型儿童桡骨远端骨折的鉴别诊断价值。方法回顾分析本院2017年6月至2019年2月确诊为桡骨远端骨折的74例患者的临床资料,将CT检查及DR检查所得的图像进行讨论和分析;根据AO分型,比较两种检查方法对桡骨远端骨折不同分型的准确率。􀩵结果74例患者中,经MSCT确诊为骨折的有74例,准确率为100%。其中A型19例,B型25例,C型30例;经DR确诊为骨折的有59例,准确率为79.73%。其中A型18例,B型22例,C型19例。MSCT诊断儿童桡骨远端骨折的准确率显著高于DR的诊断准确率,两者比较差异有统计学意义(P<0.05)。结论DR和MSCT检查均可有效显示儿童桡骨远端骨折的影像学特点,但CT检查鉴别诊断不同分型儿童桡骨远端骨折的能力显著优于DR检查,临床应用价值更高。Objective To compare the value of DR and MSCT in the differential diagnosis of distal humeral fractures of different classifications in children.Methods The clinical data of 74 patients diagnosed as distal radius fractures from June 2017 to February 2019 were analyzed retrospectively.The images obtained by CT examination and DR examination were discussed and analyzed.According to AO classification,the accuracy of different methods in the differential diagnosis of different classifications of distal humeral fractures of was compared.Results Of the 74 patients,all were diagnosed as fractures by MSCT,and the accuracy rate was 100%.Among them,there were 19 cases with type A,25 cases with type B,and 30 cases with type C.There were 59 cases diagnosed as fractures by DR,and the accuracy rate was 79.73%.Among them,18 cases were type A,22 cases were type B,and 19 cases were type C.The accuracy of MSCT in the diagnosis of distal radius fractures in children was significantly higher than that in DR.The difference was statistically significant(P<0.05).Conclusion Both DR and MSCT examinations can effectively show the imaging features of distal radius fractures in children.However,the ability of CT to differentiate and diagnose different classifications of distal fractures in children is significantly better than that of DR examination,and the clinical application value is higher.

关 键 词：X线 计算机断层 儿童 桡骨远端骨折 

分 类 号：R816[医药卫生—放射医学]