MSCT和MRI对胫骨平台骨折临床诊断价值.docVIP

MSCT和MRI对胫骨平台骨折临床诊断价值 　　[摘 要] 目的：考察MRI和MSCT对胫骨平台骨折的临床诊断价值，以及其在胫骨平台骨折AO分型方面的指导价值。方法：以我院2009年5月至2013年11月间收治的183例胫骨平台骨折患者为研究对象，对其MSCT和MRI检查结果进行汇总分析。对比分析两种影像手段对不同AO分型的胫骨平台骨折的诊断情况。结果：经手术和联用其它检查手段，最终确诊AO分型中B型骨折患者96例（B1型46例、B2型31例、B3型19例），C型患者87例（C1型50例、C2型22例、C3型15例）。MSCT和MRI的诊断结果显示，MRI和CT在B1型、B2型、B3型、C2型的检出比例和确诊精度均相似，且差异无统计学意义（P0.05）。但在C1和C3型骨折的检出比例和确诊精度方面，则以MRI较为理想，且差异具有统计学意义（P0.05）。治疗效果显示，参考MSCT和MRI诊断结果制定的治疗方案合理、可靠，表明MSCT和MRI在对胫骨平台骨折的诊治具有明确的临床指导价值。结论：MSCT和MRI对不同AO分型的胫骨平台骨折和其合并伤均有较好的诊断能力。 　　[关键词] 胫骨骨折；影像学诊断；CT和MRI；AO分型 　　中图分类号：R687.3 文献标识码：B 文章编号：2095-5200（2014）03-048-04 　　[Abstract] Objective：To investigate the clinical value of MRI and MSCT for the diagnosis of tibial plateau fractures and the AO classification. Methods：183 cases patients were the objects for the study， which had been treated in our hospital during 2009.05 to 2013.11，make an meta analysis for the data of MSCT and MRI. And take a comparative analysis for the diagnostic circumstances of MSCT and MRI of different AO classification patients. Results：96 case B type （B1type 46 cases， B2 type 31 cases， B3 type 19 cases ）of AO type and 87 case C type （C1 type 50 cases， 22 cases C2， C3 15 cases ）were diagnose by surgery and other diagnostic methods， the diagnosis accuracy and proportion of MSCT and MRI were similar in the B1 type， B2 type， B3 type and C2 type， and the difference was not statistically significant （P 0.05）. The diagnosis accuracy and proportion of MRI was more ideal than MSCT for of 1 type and C3 type， and the difference was statistically significant （P 0.05）. The results of clinical treatment showed， the treatment and diagnosis program were reliable， which been formulate with the guidance of MSCT and MRI， it suggested the MSCT and MRI had a clear clinical guidance value for the e diagnosis and treatment of tibial plateau fractures. Conclusions：MSCT and MRI has a good diagnostic capabilities for the different AO classification of tibial plateau fractures and their associated injuries. 　　[