高频超声与多层螺旋CT对隐匿性肋骨骨折的诊断价值分析.docVIP

高频超声与多层螺旋CT对隐匿性肋骨骨折的诊断价值分析 　　摘要：目的 探讨高频超声与多层螺旋CT诊断隐匿性肋骨骨折的价值。方法 将50例隐匿性肋骨骨折病例按照知情自愿的原则分为两组，A组32例，B组18例分别行高频超声和MSCT检查，分析其图像资料。结果 ①A组超声诊断肋骨骨折30例（52根），2例漏诊，诊断准确率93.75%。其中单发肋骨骨折20例，多发肋骨骨折11例，肋软骨骨折1例，骨折部位以第3~10前肋及腋缘多见，骨折断端错位0.5~6.5mm；②B组MSCT诊断肋骨骨折17例（35根），1例漏诊，诊断准确率94.44%。其中单发肋骨骨折12例，多发肋骨骨折6例，完全性肋骨骨折21根，不完全性肋骨骨折14根，21根完全性肋骨骨折中断端错位均不超过3个皮质厚度；③两者诊断准确率基本一致，对骨折部位、数量及移位情况均能清晰显示。结论 高频超声和多层螺旋CT诊断隐匿性肋骨骨折准确率均较高。综合考虑两者优缺点，超声检查可作为诊断隐匿性肋骨骨折的主要检查方法。 　　关键词：隐匿性肋骨骨折；高频超声；多层螺旋CT 　　Analysis of High Frequency Ultrasound and Multi-slice Helical CT in Diagnosis of Occult Fracture of Rib 　　LI Yu-shuang, JIA Bin,XIA Bai,TIAN Zhi-ming,CHEN Zhi-lin 　　(Department of Radiology, Nanjing Dachang Hospital, Nanjing 210035,Jiangsu,China) 　　Abstract：ObjectiveTo explore the value of high frequency ultrasound andMSCT in the diagnosis of occult fracture of rib. Methods 50 cases of occult rib fracture were in accordance with the principle of voluntary were divided into two groups, 32 cases of group A and group B, 18 cases of line of high frequency ultrasound and MSCT examination respectively, analysis of the image data. Results①A set of ultrasonic diagnosis of rib fracture 30 cases (52), 2 cases of misdiagnosis, diagnosis accuracy rate 93.75%.Single fractured ribs on 20 cases, 11 cases multiple fractured ribs, costal cartilage fracture in 1 case, rib fracture with 3~10 before and axillary edge, fracture dislocation, 0.5 to 6.5 mm. ②The B group of MSCT in the diagnosis of rib fracture of 17 cases (35), 1 case of missed diagnosis, diagnostic accuracy of 94.44%.Single rib fractures in 12 cases, 6 cases of multiple fractured ribs, completeness fractured ribs 21 root, incomplete 14 root ribs fracture, 21 root complete interruption of fractured ribs end displacement are not more than three cortical thickness. ③both the accuracy rate of diagnosis is consistent, the fracture location, number and displacement can clearly display.Conclusion High frequency ultrasound and MSCT in the diagnosis of occult rib fract