肋骨骨折X线漏诊的有关因素及预防  

Relevant Factors and Prevention of X-ray Missed Diagnosis of Rib Fracture

作　　者：范力军[1] 蒋高民[1] 党润民[1] 杨毅[1] 马永金[1] 

机构地区：[1]第四军医大学吉林军医学院医学影像教研室,吉林吉林132013

出　　处：《中国医师杂志》2003年第5期626-627,共2页Journal of Chinese Physician

摘　　要：目的　探讨肋骨骨折X线漏诊的有关因素及预防。方法　回顾性分析 2 8例肋骨骨折漏诊病例 ,就其X线检查漏诊的有关因素及预防问题作一探讨。结果　漏诊原因有 ,观片不仔细 3例 ,拍片位置 7例 ,照片质量 4例 ,病变掩盖 11例 ,拍片时间 3例。结论　胸部X线检查是诊断肋骨骨折最实用的一种方法 ,投照体位的选择 ,照片质量的保证 ,拍片时间的掌握 。Objective To study the relevant factors and prevention of X-ray missed diagnosis in rib fracture.Methods 28 cases of rib fracture in the X-ray missed diagnosis were retrospectively reviewed. The relevant factors and preventive question of X-ray missed diagnosis were explored.Results Careless reading of film(n=3),wrong position of taking film(n=7),film of low quality(n=4),image of rib fracture concealed by other image (n=11) and improper time of taking film(n=3) were found as the cause of missed diagnosis.Conclusions The X-ray examination of chest is the most practical method in diagnosing rib fracture. The choice of position in taking film,quality assurance of film,the right time in taking film and carefulness in reading film may affect the diagnosis of rib fracture.

关 键 词：胸部创伤 肋骨骨折 X线检查 漏诊 

分 类 号：R683.1[医药卫生—骨科学]