膝关节隐性创伤骨折的MRI分型并评价其临床诊断价值.docVIP

膝关节隐性创伤骨折的MRI分型并评价其临床诊断价值 　　【摘要】 目的：探讨膝关节隐性创伤骨折的MRI分型，并评价其在临床中的诊断价值。方法：从本院2013年1月-2014年1月接收疑似膝关节隐性创伤骨折患者中随机性抽取60例进行回顾性研究和分析，并将研究对象随机数字表法分为研究组和对照组，每组各30例。对照组的患者采用螺旋CT扫描检查，研究组的患者采用MRI扫描检查，比较两组的隐匿性骨折阳性检出率及损伤部位情况。结果：研究组MRI扫描检查后，出现异常阳性的有29例（96.67%），明显高于对照组的26例（86.67%），比较差异具有统计学意义（P0.05）。结论：对于膝关节隐性创伤骨折患者，首选的检查方法是采用螺旋CT扫描检查的检查方法，在采用该方法之后，对于不明确的患者可以采用MRI进行扫描，二者结合检查，可以显著提高膝关节隐性创伤骨折诊断的准确度，并且还可以清楚看到患者的损伤程度、类型等，更有利于临床诊断和治疗，值得推广和应用。 　　【关键词】 膝关节； 隐性创伤骨折； MRI分型； 诊断价值 　　【Abstract】 Objective： To probe into the MRI parting of knee recessive traumatic fractures and its clinical diagnosis values. Method： 60 patients who suffered from the knee recessive traumatic fractures and who accepted treatment in our hospital from January 2013 to January 2014 were taken as the research objects， and these patients were randomly divided into control group and observation group， with 30 patients in each group. In the control group， they were treated with the Spiral CT， while in the observation group， patients were treated with the MRI scanning. Then， the finding rate of the positive occult fracture and the injured parts were compared. Result： Among 30 patients in the observation group who were treated by the MRI scanning， 29 of them （96.67%） occurred the abnormal positive， comparing with 26 patients （86.67%） in the control group. The differences had the statistical significance （P0.05）. Conclusion： For these patients suffering from knee recessive traumatic fractures， the preferred method is the Spiral CT. After the adoption of this method， for these patients who do not have certain results， they can be treated with MRI. Combining with these two methods can evidently improve the correctness of the diagnosis of knee recessive traumatic fractures and can clearly see the injured extents and types of patients， which is good for the clinical diagnosis and treatment. Thus， it should be promoted in the clinic applications. 　　【Key words】 Knee； Recessive traumatic fractures； MRI parting； Diagnosis sign