胸部超声联合X线片诊断肋骨骨折的可行性研究  

Feasibility Studyof Diagnosing Emergency Rib Fractures Using Chest Ultrasound Combined with X-ray

作　　者：刘佃明 LIU Dianmin(Zouping City Dock Town Health Center,Shandong Province,Zouping 256200,china)

机构地区：[1]邹平市码头镇卫生院放射科,山东邹平256200

出　　处：《中华灾害救援医学》2024年第5期602-604,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探究胸部超声联合X线胸片诊断肋骨骨折的可行性。方法收集2021年1月至2023年12月因胸部外伤就诊于邹平市码头镇卫生院的患者共100例,分别行胸部超声诊断、X线胸片诊断,以CT三维重建诊断为金标准,比较胸部超声、X线片及二者联合诊断效能。结果CT三维重建诊断结果显示100例患者中68例阳性,32例阴性;胸部超声诊断阳性63例,阴性28例;X线胸片诊断阳性55例,阴性25例;联合诊断阳性66例,阴性31例,敏感性、准确率分别为97.06%、97.00%,均高于单一诊断,差异均具有统计学意义(P<0.05)。CT三维重建诊断68例患者共有93处骨折,其中71例为隐匿性肋骨骨折,22例为肋软骨骨折;联合诊断的总检出率高于单一诊断,差异均具有统计学意义(P<0.05)。结论胸部超声联合X线片可实现优势互补,提升肋骨骨折诊断敏感度、准确度,值得在基层医院推广。Objective To investigate the feasibility of chest ultrasound combined with chest X-ray in the diagnosis of rib fracture.Methods 100 patients who received chest trauma treatment at the Health Center of Wharf Town,Zouping City from January 2021 to December 2023 were selected as study subject.Chest ultrasound diagnosis and chest X-ray diagnosis were respectively performed on them.Three-dimensional CT reconstruction diagnosis was used as the gold standard to compare the diagnostic efficiency of chest ultrasound,chest X-ray,and their combination.Results Among the 100 cases,68 cases were positive and 32 cases were negative.Chest ultrasound diagnosis showed positive in 63 cases and negative in 28 cases.Chest X-ray showed positive in 55 cases and negative in 25 cases.The combined diagnosis showed positive in 66 cases and negative in 31 cases,andthe sensitivity and accuracy were 97.06%and 97.00%,respectively,that both were higher than those of any single diagnosis,and the differences were statistically significant(P<0.05).93 fractures were diagnosed by CT 3D reconstruction in 68 patients,of which 71 were occult rib fractures and 22 were costal cartilage fractures.The total detection rate of combined diagnosis was higher than that of single diagnosis,and the differences were statistically significant(P<0.05).Conclusion Chest ultrasound combined with chest X-ray can achieve complementary advantages,improve the sensitivity and accuracy of emergency rib fracture,and is worthy of grassrootsclinical promotion.

关 键 词：超声 X线透视检查 肋骨骨折 

分 类 号：R274.1[医药卫生—中医骨伤科学] R445[医药卫生—中医学]