X射线平片和CT影像在骨盆骨折检查中的准确性对比研究  

Comparison of Accuracy between X-ray Plain Film and CT Imaging in Pelvic Fracture Examination

作　　者：侯明源 倪玺惠 Hou Mingyuan;Ni Xihui(Weihai Municipal Second Hospital Affiliated to Qingdao University,Weihai Maternal and Child Health Hospital,Weihai,Shandong 264200)

机构地区：[1]青岛大学附属威海市立第二医院·威海市妇幼保健院,山东威海264200

出　　处：《科技与健康》2024年第21期33-36,共4页Technology and Health

摘　　要：评估X射线平片和CT影像在骨盆骨折检查中的诊断准确性。选取2021年3月—2023年3月医院接诊的30例骨盆骨折患者作为研究对象。临床均行X射线检查与256层螺旋CT影像检查,以手术直视下结果为标准,对比两种不同检查方式的效果。结果显示,手术直视下30例患者共发生36处骨折,CT影像准确率(100%)高于X射线平片(91.67%),差异有统计学意义(P<0.05);CT影像费用高于X射线平片,操作难度大于X射线平片,图像清晰度高于X射线平片,差异有统计学意义(P<0.05);CT影像舒适度略低于X射线平片,诊断时间略长于X射线平片,但无统计学差异(P>0.05)。研究发现,CT影像在骨盆骨折检查中的准确性优于X射线平片。尽管CT影像在费用、操作难度方面要求更高,但其图像清晰度高,可以提供更详细的信息,是一种较为可靠的检查方法。X射线平片虽然简便快速,但其诊断准确率相对较低,仅适用于初步筛查。Evaluate the diagnostic accuracy of X-ray plain film and CT imaging in pelvic fracture examination.Select 30 patients with pelvic fractures who were admitted to the hospital from March 2021 to March 2023 as the research subjects.Clinically,X-ray examination and 256 slice spiral CT imaging are performed,and the results under surgical visualization are used as the standard to compare the effects of the two different examination methods.The results showed that a total of 36 fractures occurred in 30 patients under direct visualization,and the accuracy of CT imaging(100%)was higher than that of X-ray plain film(91.67%),with statistical significance(P<0.05);The cost of CT imaging is higher than that of X-ray plain film,the difficulty of operation is greater than that of X-ray plain film,and the image clarity is higher than that of X-ray plain film,with statistical significance(P<0.05);The comfort level of CT imaging is slightly lower than that of X-ray plain film,and the diagnostic time is slightly longer than that of X-ray plain film,but there is no statistical difference(P>0.05).Research has found that CT imaging is more accurate than X-ray plain film in pelvic fracture examination.Although CT imaging has higher requirements in terms of cost and operational difficulty,its image clarity is high and can provide more detailed information,making it a more reliable examination method.Although X-ray plain films are simple and fast,their diagnostic accuracy is relatively low and they are only suitable for preliminary screening.

关 键 词：X射线平片 CT 骨盆骨折 准确性 

分 类 号：R683.3[医药卫生—骨科学]