| 数字化摄影与多层螺旋CT在足踝部骨折及脱位的诊断价值比较 |
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Received:October 15, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 吕永革 |
LÜ Yong-ge |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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michaellyg@163.com |
| 谭永良 |
TAN Yong-liang |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 莫金潮 |
MO Jin-chao |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 郑锐标 |
ZHENG Rui-biao |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 叶定开 |
YE Ding-kai |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 吴冬 |
WU Dong |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 罗帝林 |
LUO Di-lin |
广州医学院附属深圳沙井医院放射科, 广东 深圳 518104 |
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| 彭洒 |
PENG Sa |
广州医学院附属深圳沙井医院蓝天社康站, 广东 深圳 518104 |
Department of Radiology, Shenzhen Shajing Hospital Affiliated of Guangzhou Medical University, Shenzhen 518104, Guangdong, China |
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| 期刊信息：《中国骨伤》2013年26卷，第7期，第553-556页 |
| DOI：10.3969/j.issn.1003-0034.2013.07.006 |
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目的: 比较数字化摄影(DR)与多层螺旋CT(MSCT)在诊断足踝部骨折及关节脱位的应用价值。
方法: 分析2010年8月至2012年8月收治的52例足踝部骨折及脱位患者(男37例,女15例,年龄15～49岁)的DR及MSCT资料,并与手术或出院诊断对比,比较两者诊断骨折数量、关节脱位的区别,采用R统计软件Wilcoxon符号秩检验(Wilcoxon signed rank test)进行统计学分析。
结果: 52例MSCT结果与术后或出院诊断结果完全相符。MSCT诊断骨折172处,DR诊断骨折98处,两者在骨折诊断中差异有统计学意义(V=1 081,P<0.05);MSCT诊断关节脱位24例,DR诊断关节脱位16例,两者在关节脱位诊断中差异有统计学意义(V=21,P<0.05).MSCT纠正DR骨折诊断定位6例。
结论: MSCT对足踝部骨折及关节脱位的诊断优于DR.DR应首选2个部位的检查。当DR诊断结果不明确或与临床症状不相符时应选择MSCT及多平面重建(MPR)检查,可避免漏诊及误诊。 |
| [关键词]:数字化摄影 多层螺旋CT 足 踝 骨折 脱位 |
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| Comparison of diagnostic value between DR and MSCT in fracture and dislocation of foot and ankle |
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Abstract:
Objective: To compare the diagnostic value between digital photography(DR) and multi-slice spiral CT(MSCT) in fracture and dislocation of foot and ankle.
Methods: From August 2010 to August 2012,the DR and MSCT data of 52 patients with fracture and dislocation of foot and ankle were compared according to results of surgery or discharge diagnosis. There were 37 males and 15 females,aged from 15 to 49 years old. Wilcoxon signed rank test was used for statistical analysis.
Results: The results of 52 cases of MSCT were matched with the postoperative or discharge diagnosis. A total of 172 fractures were found on MSCT and 98 fractures were found on DR,the results had significant difference in detecting fracture (V=1 081,P<0.05); A total of 24 dislocations were found on MSCT and 16 dislocations were found on DR,the results also had significant difference in detecting dislocation(V=21,P<0.05). Fractures of 6 cases with DR diagnosis were corrected and located by MSCT.
Conclusion: MSCT is significantly better than DR in diagnosis of fracture and dislocation of foot and ankle. The examination of two parts should be performed in DR. MSCT and multi-planar reconstruction(MPR) examination should be further performed if DR results are unclear or do not match with clinical symptoms,missed diagnosis and misdiagnosis can be avoided. |
| KEYWORDS:Digital photography Multi-slice spiral CT Foot Ankle Fractures Dislocations |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吕永革,谭永良,莫金潮,郑锐标,叶定开,吴冬,罗帝林,彭洒.数字化摄影与多层螺旋CT在足踝部骨折及脱位的诊断价值比较[J].中国骨伤,2013,26(7):553~556 |
| 英文格式: | LÜ Yong-ge,TAN Yong-liang,MO Jin-chao,ZHENG Rui-biao,YE Ding-kai,WU Dong,LUO Di-lin,PENG Sa.Comparison of diagnostic value between DR and MSCT in fracture and dislocation of foot and ankle[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(7):553~556 |
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