多层螺旋CT及核磁共振联合应用于腕关节损伤影像特征及诊断价值.doc

多层螺旋CT及核磁共振联合应用于腕关节损伤影像特征及诊断价值 　　【摘要】 目的：探?多层螺旋CT（MSCT）与核磁共振（MRI）联合应用于腕关节损伤的诊断价值。方法：将2012年1月1日-2015年12月31日入住本院的80例腕关节损伤患者的检查结果分为三组，对照A组行单纯MRI检查，对照B组行单纯MSCT检查，观察组行MRI、MSCT联合应用检查，对比三组数据的差异。结果：在骨折和关节脱位检查方面，观察组骨折73处，脱位35处，观察组检出率显著高于其他两组，比较差异均有统计学意义（P0.05）。观察组骨折和关节脱位检出率为92.50%（74/80），对照A组为68.75%（55/80），对照B组为71.25%（57/80），观察组检出率显著高于其他两组，比较差异均有统计学意义（P0.05）。在移位碎骨折片和隐匿性骨折检出方面，观察组检测移位碎骨折片36处，隐匿性骨折34处，对照A组发现移位碎骨折片率0，隐匿性骨折率97.05%；对照B组发现移位碎骨折片率94.44%，隐匿性骨折率11.76%。结论：MRI联合MSCT应用于腕关节的损伤能准确判断患者腕关节的整体状况，全面显示患者骨折、脱位、骨碎片、肌腱及皮下组织损伤等多方面的情况，具有准确性、全面性，具有极高的诊断价值 【关键词】 多层螺旋CT； 核磁共振； 联合应用； 腕关节损伤； 影像特征； 诊断价值 The Application Features and Diagnostic Value of Multislice Spiral CT Combined with Magnetic Resonance Imaging in Wrist Injury/MO Hai-bin，PAN Zhi-wan，CHEN Yuan-kai.//Medical Innovation of China，2016，13（31）：123-127 【Abstract】 Objective：To investigate the application imaging features and diagnostic value of multi-slice spiral CT （MSCT） combined with magnetic resonance （MRI） in wrist injury.Method：A total of 80 patients with wrist in our hospital were selected from January 1，2012 to December 31，2015，they were divided into three groups， each group was respectively given simple MRI，MSCT and MRI combined with MSCT，the results of three groups were compared.Result：In the aspect of fracture and dislocation of inspection，observation group had 73 pieces with fractures and 35 pieces dislocation，significantly higher than the other two groups，there were statistically significant differences（P0.05）.The detection rate of fracture and dislocation in the observation group was 92.50%，control group A was 68.75%，control group B was 71.25%，the detection rate of fracture and dislocation in observation group was significantly higher than that of the other two groups，the differences were statistically significant （P0.05）.The shift in the broken fracture detection and aspects of the occult fracture of the observation group had 36 pieces of broken fracture displacement detection and 34 pieces occult fractur