MSCT和DR在骶椎骨折诊断中的临床价值对比

徐官珍; 付传明; 龚晓虹; 陈平有

MSCT和DR在骶椎骨折诊断中的临床价值对比

1. 湖北十堰市妇幼保健院放射科, 湖北十堰 442000;
2. 湖北医药学院附属太和医院放射影像中心, 湖北十堰 442000

详细信息

作者简介:
徐官珍(1963-),女,湖北十堰市妇幼保健院放射科,副主任医师,主要从事CT诊断,Tel:13508673687,E-mail:xuguanzhen@126.com;付传明(1966-),男,湖北医药学院附属太和医院放射影像中心,主管技师,从事影像后处理,Tel:13508673184,E-mail:cmhqxy@126.com

通讯作者:
付传明(1966-),男,湖北医药学院附属太和医院放射影像中心,主管技师,从事影像后处理,Tel:13508673184,E-mail:cmhqxy@126.com

中图分类号: R445.3;R683
计量
- 文章访问数: 813
- HTML全文浏览量: 14
- PDF下载量: 1
出版历程
- 收稿日期: 2011-01-24
- 网络出版日期: 2022-12-14

The Comparison of Clinical Diagnosis Value about Sacral Fracture with MSCT and DR

1. Department of Radiology, Maternal and Child Health hospital, Hubei, Shiyan 442000, China;
2. Radiology image center, Affiliated Taihe Hospital, Hubei university of medicine, Hubei, Shiyan 442000, China

摘要

摘要: 目的: 比较直接数字X线摄影(DR)和多排螺旋CT(MSCT)在骶椎骨折诊断中的准确性,并评价对临床治疗指导价值。资料与方法: 回顾性分析50例骶椎骨折患者的DR和MSCT资料。DR观察正、侧位片;MSCT观察容积再现(VR)、多平面重组(MPR)和最大密度投影(MIP)。在骶椎骨折诊断率、分类上进行比较并与手术结果对照。结果: DR确诊26例(52%),漏诊20例(40%),疑诊4例(8%)。MSCT明确诊断49例(98%),疑诊1例(2%),漏诊0例。对确诊的骶椎骨折进行Denis分类,DR正确分型19例(73.08%),MSCT正确分型49例(100%);DR和MSCT在诊断率、分类上具有明显统计学意义(P<0.01)。50例骶椎骨折患者,33例保守治疗,17例手术治疗,手术所见与MSCT诊断结果一致。结论: DR对骶椎骨折诊断率、分类上与MSCT有明显差异,DR作为骶椎骨折的前期筛选的检查方法,MSCT作为常规检查方法,为临床提供准确的影像信息和最佳的治疗方案。
- 数字X线摄影 /
- 体层摄影术 /
- X线计算机 /
- 骶椎骨折
Abstract: Objective: To compare the diagnosis accuracy of sacral fracture between DR and MSCT and evaluate their guiding value to clinic treatment.Methods: Datum of DR and MSCT were analyzed retrospectively in 50 patients with sacral fracture.DR included the posteroanterior and lateral film.MSCT included valume rendering(VR)multi-plane recombination(MPR)and maximum intensity projection(MIP).Then we compared the diagnosis rating and classification between DR and MSCT,compared with operation results partly.Results: DR made a definite diagnosis of 26 cases(52%),missed diagnosis of 20 cases(40%)and suspected diagnosis of 4 cases(8%).MSCT made a definite diagnosis of 49 cases(98%),suspected diagnosis 1 cases(2%).The cases of definite diagnosis were classified with Denis method.19 cases(73.08%)are classified correctly by DR.49(100%) by MSCT.Thus it can be seen that there is noticeable statistic meaning in diagnosis rating and classification between DR and MSCT(P<0.01).33 cases with sacral fracture received conservative treatment.17 cases received operation.Operation observation and MSCT diagnosis is accordant.Conclusion: There is significant difference between DR and MSCT in diagnosis and classification of sacral fracture.DR can be early-stage screening examination,while MSCT can be routine examination and provide more valuable information for clinical diagnosis and treatment.
- digital X-ray photograph /
- tomography /
- X-ray computer /
- sacral fracture