多层螺旋CT联合MRI在腕关节损伤诊断中的应用价值.docVIP

精品论文 参考文献 多层螺旋CT联合MRI在腕关节损伤诊断中的应用价值 于海波 成建华 　　（商丘市第一人民医院放射科 河南商丘 476100） 　　[摘要] ：目的： 研究分析多层螺旋CT联合MRI应用于腕关节损伤诊断的临床价值。方法 ：选取2013年7月至2015年7月我院收治腕关节损伤患者80例，随机分为对照组40例、观察组40例。对照组采用多层螺旋CT诊断，观察组采用多层螺旋CT联合MRI诊断，对比两组临床诊断结果。结果： 观察组发现关节脱位、骨折处、移位碎骨折片数量、隐匿性骨折处均明显多于对照组，差异有统计学意义（P＜0.05）。结论： 多层螺旋CT联合MRI诊断腕关节损伤具有显著效果，能够有效提高关节脱位、骨折、移位碎骨折片和隐匿性骨折检出率，明确皮下组织损伤和肌腱范围，值得推广。 　　关键词：多层螺旋CT；核磁共振；腕关节损伤；诊断 　　Application value of multi slice spiral CT combined with MRI in diagnosis of wrist joint injury 　　Yu Haibo (Department of Radiology, Shangqiu First Peoples Hospital, Shangqiu, Henan 476100) 　　Abstract: Objective: To study the clinical value of multi-slice spiral CT combined with MRI in the diagnosis of wrist joint injury. Methods: from July 2013 to July 2015, 80 patients with wrist injury were randomly divided into control group and observation group of 40 cases, 40 cases. The control group was diagnosed by multi-slice spiral CT, and the observation group was diagnosed by multi-slice spiral CT combined with MRI, and compared with the clinical diagnosis of the two groups. Results: in the observation group, there were significant differences in the number of joint dislocation, fracture site, displaced fragment number and occult fracture site, and the difference was statistically significant (P lt; 0.05). Conclusion: multi slice spiral CT combined with MRI diagnosis of wrist joint injury has a significant effect, can effectively improve the joint dislocation, fracture, displacement broken fracture piece and occult fracture detection rates, clear subcutaneous tissue damage and tendon range, worthy of promotion. 　　Keywords: multi slice spiral CT; magnetic resonance imaging; wrist joint injury; diagnosis 　　腕关节是人体骨骼结构最复杂、活动最频繁的关节，其主要是由尺桡骨远端、8块腕骨和1-5块掌骨近端组成[1]。腕关节损伤是目前临床极为多见的疾病之一，由于患者通常处于被动体位，X线片和轴位计算机CT扫描无法精确显示损伤部位和损伤程度，极易发生误诊、漏诊现象，影响患者治疗，严重者甚至出现永久性功能丧失[2]。研究显示[3]，多层螺旋CT和MRI诊断能够提供大量影像信息，处理功能强大，还可以直观、准确的显示腕关节损伤情况，目前已被广泛运用于诊断腕关节损伤。本次研究选取我院收治的腕关节损伤患者80例给予多层螺旋CT联合MRI诊断，效果显著。现报告如下。 　　1 资料与方法 　　1.1 一般资料