X线与CT诊断胸腰椎骨折应用价值分析.docVIP

X线与CT诊断胸腰椎骨折应用价值分析 　　[摘要] 目的 分析X线与CT诊断胸腰椎骨折的应用价值。 方法 方便选择该院自2016年5月―2017年5月期间收治的胸腰椎骨折患者66例，所有患者均由手术确诊。依据诊断方法差异性均分两组。实施X线诊断的33例患者为参照组，实施CT诊断的33例患者为研究组，最后对两组患者的诊断结果进行统计和总结。 结果 经不同方法诊断后，研究组患者的检出率（100.0%）较比参照组患者的检出率（81.8%）明显较高，组间数据统计后差异有统计学意义（P0.05）。比对两组患者的骨折临床分型，研究组安全带型诊断准确率（100.0%）和爆裂型诊断准确率（100.0%）较比参照组的30.0%、40.0%更高，组间数据统计后差异有统计学意义（P0.05）。从两组患者的椎管狭窄、椎体骨折线、附件骨折准确率和椎弓根间增宽方面来看，研究组68.2%、90.9%、53.0%、60.6%较比参照组48.5%、75.8%、33.3%、42.4%更优，组间数据统计后差异有统计学意义（P0.05）。结论 胸腰椎骨折予以CT诊断具有较高的检出率，同时可以将骨折临床分型和影像学特征充分体现，在一定程度上可以为后续手术治疗提供有利依据，临床应用价值存在。 　　[关键词] X线；CT；胸腰椎骨折；应用价值 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0164-03 　　[Abstract] Objective This paper tries to evaluate the value of X-ray and CT in the diagnosis of thoracolumbar fractures. Methods 66 cases of patients with thoracolumbar fractures treated from May 2016 to May 2017 in this hospital were conveniently selected and were diagnosed by the surgery. All the patients were equally divided into two groups based on the different diagnosis methods. 33 cases with X-ray diagnosis were regarded as the control group， and 33 cases with CT diagnosis were regarded as the research group， and then the diagnosis results of the two groups were concluded and collected. Results After diagnosis by different methods， the detection rate was 100.0% in the study group， significantly higher than that of the reference group of 81.8%， and the data between the two groups were significantly different（P0.05）. According to the comparison of clinical classification of fractures in the two groups， the safety diagnostic accuracy was 100.0% and burst diagnostic accuracy was 100.0%， higher than the reference group of 30.0% and 40.0%， the difference was statistically significant（P0.05）. From the aspects of the spinal stenosis， vertebral fracture line， the accuracy of the attachment fracture and the widening of the pedicle， the scores were 68.2%， 90.9%， 53.0% and 60.6% of the study group， better than those in the reference group of 48.5%， 75.8%， 3