首页|CT检查的多平面重组对肋骨骨折的诊断价值分析

CT检查的多平面重组对肋骨骨折的诊断价值分析

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目的:探讨计算机断层扫描(Computer tomography,CT)检查中多平面重组(Multiplanar recombination,MPR)技术对肋骨骨折的临床诊断应用价值.方法:选取 2020 年 1 月至 2022 年 12 月期间本院胸外科收治并确诊为肋骨骨折 70 例患者作为研究对象.所有患者均采用CT检查,并在CT检查后利用MPR技术对肋骨情况开展图像重组.以临床手术确诊结果为检测的最终结果,分析对比 CT 检查和 MPR 检查方法对肋骨骨折的确诊情况、隐匿性骨折的确诊情况及胸腰椎损伤分类及损伤程度评分系统(Thoracolumbar injury classification and severity score,TLICS)评分情况.结果:通过临床手术确诊,70 例患者肋骨骨折共 130 处,其中隐匿性骨折 58 处,MPR组检出率明显高于 CT 组(P<0.05);隐匿性骨折检出情况,MPR 组诊断效果好于 CT 组(P<0.05).MPR 组TLICS评分、TLICS评分≥5分比例及TLICS评分≥7 分比例均高于CT组(P<0.05).结论:对肋骨骨折患者行CT检查的MPR技术,有效提升骨折和隐匿性骨折的检出率,提高 TLICS 评分的灵敏度.
Diagnostic value of multi-plane recombination of CT examination in rib fracture
Objective:To evaluate the value of multiplanar recombination(MPR)technique in Computer tomography(CT)in the clinical diagnosis of rib fracture.Methods:From January 2020 to December 2022,70 patients diagnosed with rib fracture in our hospital were selected as the study objects.All patients underwent CT examination.And after that,multi-plane reconstruction(MPR)technique was used to reconstruct the rib condition.Based on the results of clinical diagnosis,the diagnosis of rib fracture by CT examination and MPR examination,the diagnosis of occult fracture,thoracolumbar injury classification and severity score(TLICS)were analyzed and compared.Results:130 rib fractures were confirmed by clinical operation in 70 patients,including 58 hidden fractures.The detection rate in MPR group was significantly higher than that in CT group(P<0.05).The detection rate of occult fracture in MPR group was better that that in CT group(P<0.05).TLICS score,proportion of TLICS score≥5 and proportion of TLICS score≥7 in MPR group were higher than those in CT group(P<0.05).Conclusion:MPR CT can effectively improve the detection rate of fracture and occult fracture,and improve the sensitivity of TLICS score in patients with rib fracture.

Multi-plane recombinationRib fractureCT examination

梁万强、尤云峰、徐燕

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洛阳市东方人民医院医学影像科,河南 洛阳 471000

多平面重组 肋骨骨折 CT检查

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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