股骨干粉碎性骨折合并膝关节损伤机率的临床研究.docVIP

精品论文 参考文献 股骨干粉碎性骨折合并膝关节损伤机率的临床研究 海南省保亭县医院 海南保亭 572300 【摘 要】目的 探讨股骨干粉碎性骨折后同侧膝关节损伤发生机率，来证实股骨干粉碎骨折后进行膝关节检查的重要意义，对降低股骨干粉碎性骨折后合并膝关节损伤的漏诊率起到的的作用。方法 将我院骨科4年间符合纳入标准的股骨干粉碎骨折150例患者随机分为观察组75例进行（术前一般检查、物理检查）；观察组75例（术前同侧膝关节螺旋CT检查）两组术后均行MRI检查。比较两组患者股骨干粉碎性骨折合并膝关节损伤发生率及漏诊率。结果 两组患者交叉韧带、后交叉韧带、内侧副韧带、外侧副韧带、半月板损伤诊断准确率比较（X2=6.12、6.34、5.22、5.65、6.13，Pgt;0.05，具有显著性差异），两组患者膝关节各部位损伤情况漏诊率比较（X2=5.11、5.23、4.12、4.33、5.32，Plt;0.05，具有显著性差异）。结论 股骨干粉碎性骨折合并膝关节损伤发生率高，术前一般检查有一定假阴性率及漏诊率，螺旋CT诊断率较高，有利于早期诊断治疗。 【关键词】股骨干；骨折；膝关节；损伤 Clinical studies of femoral shaft fractures combined probability of Knee Injury Abstract：Objective To investigate the ipsilateral knee injury after femoral fractures chance to prove the importance of inspections carried out after knee femoral comminuted fracture of the femoral shaft fractures reduce the combined rate of misdiagnosis played knee injury the role.Methods orthopedic hospital four years I met the inclusion criteria of the femoral shaft comminuted fracture of 150 patients were randomly divided into observation group 75 cases performed（general preoperative examination，physical examination）；observation group 75 cases（preoperative ipsilateral knee spiral CT）underwent postoperative MRI.Comparison of the two groups were combined femoral shaft fractures knee injury incidence and rate of misdiagnosis.Results There were cruciate ligament，posterior cruciate ligament，medial collateral ligament，lateral collateral ligament，meniscus compare the diagnostic accuracy（X2 = 6.12，6.34，5.22，5.65，6.13，Pgt; 0.05，with a significant difference），two patients knee injury various parts of the rate of misdiagnosis comparison（X2 = 5.11，5.23，4.12，4.33，5.32??P lt;0.05，significant difference）.Conclusion femoral shaft fractures combined high incidence of knee injuries，preoperative examination generally have a false negative rate and the rate of misdiagnosis，the higher the rate of spiral CT，is conducive to early diagnosis and treatment. Keywords：femoral shaft fractures；knee joint；injury 【中图分类号】R857.1