鼻骨骨折老年患者临床诊断中CT的应用及准确性分析  

The application and accuracy analysis of CT in the clinical diagnosis of nasal fractures in elderly patients

作　　者：张辉 凌鑫 蔡宇鹏 Zhang Hui;Ling Xin;Cai Yupeng(Department of Imaging Medicine,Changhai Hospital Affiliated to Naval Medical University,Shanghai,200433,P.R.China)

机构地区：[1]海军军医大学附属长海医院影像医学科,上海200433

出　　处：《老年医学与保健》2021年第1期106-108,共3页Geriatrics & Health Care

摘　　要：目的探讨鼻骨骨折患者临床诊断中CT的应用及准确性。方法选取2018年1月-2020年1月在长海医院影像医学科接受检查的鼻骨骨折老年患者76例,对患者进行CT三维重建成像检查。对比分析CT检查鼻骨骨折诊断、骨折类型和骨折部位结果与病理检查结果的差异。结果病理检查结果证实,76例患者(100.0%)均发生鼻骨骨折;CT检查中,76例患者均检查出鼻骨骨折(100.0%),CT检查结果与病理结果对比差异无统计学意义(P>0.05)。病理检查结果证实,76例患者中,复合骨折14例,粉碎性骨折26例,单纯线形骨折36例;CT检查结果显示,复合骨折15例,粉碎性骨折27例,单纯线形骨折34例;CT检查结果与病理结果对比差异无统计学意义(P>0.05)。病理检查结果证实,76例患者中,鼻骨汇合部骨折14例,鼻中隔骨折23例,单纯鼻骨骨折39例;CT检查结果显示,鼻骨汇合部骨折16例,鼻中隔骨折23例,单纯鼻骨骨折37例;CT检查结果与病理结果对比差异无统计学意义(P>0.05)。结论鼻骨骨折患者临床诊断中应使用CT检查,采用CT横断位与冠状位扫描,检查诊断结果具有较高的可靠性,接近病理检查结果。Objective To explore the application and accuracy of CT in the clinical diagnosis of nasal bone fractures.Methods A total of 76 elderly patients with nasal bone fractures who were examined in Department of Imaging Medicine of Changhai Hospital from January 2018 to January 2020 were selected.The patients were examined by CT three-dimensional reconstruction imaging examination.The results of CT examination of nasal bone fractures,fracture types and fracture sites were compared with those of pathological examination.Results The results of pathological examination confirmed that 76 patients(100.0%)had nasal bone fracture;CT examination results indicated that 76 patients had nasal bone fracture(100.0%),and there was no significant difference between CT examination results and pathological results(P>0.05).Results of pathological examination showed that there were 14 cases of compound fracture,26 ones of comminuted fracture and 36 ones of simple linear fracture in 76 patients;CT examination showed that there were 15 ones of compound fracture,27 ones of comminuted fracture and 34 ones of simple linear fracture;there was no statistical significance between CT examination results and pathological results(P>0.05).Pathological examination results confirmed that there were 14 cases of nasal bone confluence fracture,23 cases of nasal septum fracture and 39 cases of simple nasal bone fracture;CT examination results showed that there were 16 cases of nasal bone confluence fracture,23 cases of nasal septum fracture and 37 cases of simple nasal bone fracture,there was no statistically significant difference between CT examination results and pathological results(P>0.05).Conclusion CT examination should be used in the clinical diagnosis of nasal bone fracture.The results of CT transverse and coronal scanning are reliable and similar to pathological examination results,which can be recommended for the diagnosis of nasal bone fracture.

关 键 词：老年 鼻骨骨折 冠状位扫描 CT三维重建成像 准确性 

分 类 号：R765.8[医药卫生—耳鼻咽喉科] R816.96[医药卫生—临床医学]