| 多层螺旋CT足踝部隐匿性骨折的诊断价值 |
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Received:January 12, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 吕冬亮 |
LV Dong-liang |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
ldl9507@163.com |
| 金晶 |
JIN Jing |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 谷水君 |
GU Shui-jun |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 祝莹 |
ZHU Ying |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 徐斌 |
XU Bin |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 邵华 |
SHAO Hua |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 韩琦 |
HAN Qi |
慈溪市第三人民医院放射科，浙江 慈溪 315324 |
Department of Radiology,the Third People's Hospital of Cixi,Cixi 315324,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第6期，第522-526页 |
| DOI：10.3969/j.issn.1003-0034.2011.06.025 |
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目的：通过对隐匿性骨折的诊断，提示足踝部外伤后X线检查阴性、临床高度怀疑有骨折的患者进行多层螺旋CT检查的必要性，以期减少漏诊、误诊。
方法：收集2007年1月至2010年6月31例足踝部外伤病例，男18例，女13例；年龄21～67岁，平均35岁。均有明确外伤史，主要表现为足踝部疼痛，局部肿胀，压痛点固定，压痛明显，活动受限。31例X线检查均阴性，因临床高度怀疑骨折而行多层螺旋CT检查。
结果：螺旋CT检查发现11例骨折，共累及17处。单发骨折6例，多发骨折5例。单发骨折中，外踝骨折1例，距骨骨折1例，足舟骨骨折1例，第5跖骨基底部骨折1例，跟骨骨折2例；多发骨折中，内、外踝骨折1例，内踝、跟骨、距骨骨折1例，距骨、足舟骨骨折1例，足第1、2楔骨骨折1例，第2、3跖骨基底部骨折1例。
结论：足踝部外伤后X线片检查阴性、临床高度怀疑有骨折的患者进行多层螺旋CT检查，可明显提高隐匿性骨折的检出率，为临床治疗及司法鉴定提供可靠的影像学依据，具有重要的应用价值。 |
| [关键词]:体层摄影术，螺旋计算机 足 踝关节 骨折 诊断 |
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| Value of spiral CT examination for diagnosis of occult fracture of ankle and foot |
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Abstract:
Objective: To investigate the value of spiral CT examination for diagnosis occult fracture of the patients with negative result of X-ray examination and with high suspicion of fractures,so as to reduce misdiagnosis.
Methods: From January 2007 to June 2010,31 patients with ankle trauma performed spiral CT examination,including 18 males and 13 females,ranging in age from 21 to 67 years,with a mean of 35 years. The main symptoms of the patients included ankle pain,local swelling,obvious tenderness and activity limitation. All the patients had negative results of X-ray examination.
Results: The spiral CT examination revealed 11 patients with fractures,involving a total of 17 points. Single fracture were found in 6 cases,and multiple fractures were found in 5 cases. Among single fractures,the lateral malleolus fracture was found in 1 case,talus fracture was found in 1 case,scaphoid fracture was found in 1 case,the fracture of the base of 5th metatarsal base was found in 1 case and calcaneal fractures were found in 2 cases. Within multiple fractures,internal and lateral malleolus fracture were found in 1 case;medial malleolus,calcaneus and talus fractures were found in 1 case; talus and scaphoid fractures were found in 1 case;the fractures of 1st and 2nd cuneiform bone were found in 1 case;the 2nd and 3rd metatarsal base fracture was found in 1 case.
Conclusion: For the patients with negative X-ray examination and high suspicion of fractures,the spiral CT examination is needed,which could significantly improve the detection rate of occult fractures,and provide imaging basis for clinical treatment and judicial identify. |
| KEYWORDS:Tomography,spiral computed Foot Ankle joint Fractures Diagnosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吕冬亮,金晶,谷水君,祝莹,徐斌,邵华,韩琦.多层螺旋CT足踝部隐匿性骨折的诊断价值[J].中国骨伤,2011,24(6):522~526 |
| 英文格式: | LV Dong-liang,JIN Jing,GU Shui-jun,ZHU Ying,XU Bin,SHAO Hua,HAN Qi.Value of spiral CT examination for diagnosis of occult fracture of ankle and foot[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(6):522~526 |
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