多层螺旋CT与放射DR平片诊断隐匿性骨折的效能分析  

Diagnostic Efficacy of Multi-slice Spiral CT and Radiation DR Plain Film for Occult Fractures

作　　者：姚玉荣 YAO Yurong(Department of Radiology,Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng 252000,Shandong,China)

机构地区：[1]聊城市中医医院放射科,山东聊城252000

出　　处：《世界复合医学(中英文)》2025年第1期169-171,共3页World Journal of Complex Medicine

摘　　要：目的探讨多层螺旋CT诊断以及放射数字X线摄影术(digital radiography,DR)平片对隐匿性骨折的诊断效果。方法选取2022年10月—2023年12月聊城市中医医院收治的96例疑似隐匿性骨折患者作为研究对象。分别展开多层螺旋CT诊断以及放射DR平片诊断,以手术结果作为金标准。分析上述两种方法的诊断效能。结果手术结果诊断阳性60例,阴性36例;多层螺旋CT检出阳性58例,阴性38例;放射DR平片检出阳性45例,阴性51例。多层螺旋CT诊断隐匿性骨折疾病的灵敏度为95.00%(57/60)、特异度为97.22%(35/36)、准确度为95.83%(92/96),均高于放射DR平片的61.67%(37/60)、77.78%(28/36)、67.71%(65/96),差异均有统计学意义(χ^(2)=19.639、6.222、25.471,P均<0.05)。结论在隐匿性骨折患者的临床诊断期间,同放射DR平片诊断比较,运用多层螺旋CT诊断方法,可明显提升隐匿性骨折的诊断效能。Objective To investigate the diagnostic effects of multi-slice spiral CT and radiation digital radiography(DR)plain film in patients with occult fractures.Methods A total of 96 patients with suspected occult fractures admitted to Liaocheng Hospital of Traditional Chinese Medicine from October 2022 to December 2023 were selected as the research objects.Multi-slice spiral CT diagnosis and radiation DR plain film diagnosis were carried out respectively,and the surgical results were used as the gold standard.The diagnostic efficacy of the above two methods was analyzed.Results The surgical results were positive in 60 cases and negative in 36 cases.Multi-slice spiral CT detected positive in 58 cases,negative in 38 cases;radiation DR plain film was positive in 45 cases and negative in 51 cases.The sensitivity,specificity and accuracy of multi-slice spiral CT in the diagnosis of occult fracture were 95.00%(57/60),97.22%(35/36)and 95.83%(92/96),respectively,which were higher than 61.67%(37/60),77.78%(28/36)and 67.71%(65/96)of radiation DR plain film,and the differences were statistically significant(χ^(2)=19.639,6.222,25.471,all P<0.05).Conclusion During the clinical diagnosis of patients with occult fracture,compared with the diagnosis of radiation DR plain film,the use of multi-slice spiral CT diagnosis method can significantly improve the diagnostic efficiency of occult fracture.

关 键 词：隐匿性骨折 多层螺旋CT 放射数字X线摄影术平片 诊断效能 

分 类 号：R816[医药卫生—放射医学]