X线与CT平扫联合三维重建检查在胫骨平台骨折诊断中应用价值比较.docVIP

X线与CT平扫联合三维重建检查在胫骨平台骨折诊断中应用价值比较 　　[摘要]目的 比较分析X线与CT平扫联合三维重建检查在胫骨平台骨折诊断中的应用价值。方法 选取我院2013年11月～2016年11月接收的98例胫骨骨折患者，所有患者均接受X线与CT平扫+三维重建检查，医生根据检查结果进行胫骨骨折的诊断，计算确诊人数和误诊人数，以确诊率和误诊率作为观察指标比较不同检查方法的效果，判断其临床应用价值。结果 X线检查确诊67例，确诊率为68.37%；可疑骨折7例，占7.14%；误诊24例，误诊率为24.49%。CT平扫+三维重建检查确诊82例，确诊率为83.67%；可疑骨折6例，占6.12%；误诊10例，误诊率为10.20%。两组检查方法的误诊率和确诊率比较，差异有统计学意义（P0.05）。结论 CT平扫联合三维重建对于可疑骨折的确诊具有重要的积极意义，具有更高的临床应用价值，但是X线对于展示骨折的形态和全貌具有关键性作用，将两种检查方法结合起来效果更好。 　　[关键词]X线检查；CT平扫联合三维重建检查；胫骨平台骨折 　　[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-4721（2017）04（c）-0110-03 　　[Abstract]Objective To compare the value of X-ray and CT plain scan combined with three-dimensional reconstruction in the diagnosis of tibial plateau fractures.Methods 98 patients with tibial fractures in our hospital from November 2013 to November 2016 were enrolled in this study.All patients underwent X-ray and CT plain scan and three-dimensional reconstruction.According to the results of the examination，tibial fractures was diagnosed by the doctors.The number of diagnosed and misdiagnosed patients were calculated.The diagnosis rate and misdiagnosis rate were used as the observation indexes to compare the effect of different examination methods to judge the clinical application value.Results The number of confirmed X-ray examination was 67 cases，the diagnosis rate was 68.37%.The number of suspected fractures was 7 cases，accounting for 7.14%.The number of misdiagnosed patients was 24 cases，the misdiagnosis rate was 24.49%.The number of diagnosed patients by CT scan and 3D reconstruction was 82 cases，accounting for 83.67%.The number of suspected fractures was 6 cases，accounting for 6.12%.After three-dimensional CT reconstruction，the number of misdiagnosed patients was 10 cases，and the misdiagnosis rate was 10.20%.There was significant difference in the misdiagnosis rate and the diagnosis rate between the two geoups （P0.05）.Conclusion CT plain scan combined with three-dimensional reconstruction has important positive significance for the dia