首页|80排螺旋CT多平面重建与DR平片对外伤性肋骨骨折的诊断价值研究

80排螺旋CT多平面重建与DR平片对外伤性肋骨骨折的诊断价值研究

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目的 探讨80排螺旋计算机断层扫描(CT)多平面重建与数字化X线摄影(DR)平片对外伤性肋骨骨折的诊断价值.方法 回顾性选取2021年1月-2023年1月收治的68例外伤性肋骨骨折患者作为研究对象,所有患者均行80排螺旋CT检查和DR检查,比较两种检测方法对外伤性肋骨骨折的诊断价值.结果 68例外伤性肋骨骨折患者,最终临床诊断显示骨折位置104处,以最终临床检查为依据,螺旋CT多平面重建的确诊率高于DR检查,漏诊率和误诊率低于DR检查,差异具有统计学意义(x2=16.413;x2=9.789;x2=6.178,P<0.05);螺旋CT多平面重建的准确度和敏感度高于DR检查,差异具有统计学意义(准确率:89.71%vs 69.12%,x2=8.815,P<0.05;特异度:87.80%vs 65.85%,x2=5.549,P<0.05).结论 相较于DR平片,80排螺旋CT检查可提高对外伤性肋骨骨折诊断的准确度和敏感度.
Diagnostic Value of 80-slice Spiral CT Multiplane Reconstruction and DR Plain Film in Traumatic Rib Fracture
Objective To explore the diagnostic value of 80-slice spiral computed tomography(CT)multiplanar reconstruction and digital radiography(DR)plain film in traumatic rib fracture.Methods A total of 68 patients with traumatic rib fracture were retrospectively enrolled as the research objects between January 2021 and January 2023.All underwent 80-slice spiral CT and DR examinations,and the diagnostic value of the two detection methods for traumatic rib fracture was compared.Results In the 68 patients with traumatic rib fracture,the final clinical diagnosis showed that there were 104 sites with fracture.On the basis of the final clinical examination,the confirming rate of spiral CT multiplane reconstruction was higher than that of DR,missed diagnosis and misdiagnosis rates were lower than those of DR,the difference was statistically significant(x2=16.413;x2=9.789;x2=6.178,P<0.05).The accuracy and sensitivity of spiral CT multiplane reconstruction were higher than those of DR,the difference was statistically significant(accuracy rate:89.71%vs 69.12%,x2=8.815,P<0.05;specificity:87.80%vs 65.85%,x2=5.549,P<0.05).Conclusion Compared with DR plain film,80-slice spiral CT can improve diagnostic accuracy and sensitivity in traumatic rib fracture.

Traumatic Rib FractureComputed TomographyMultiplane Reconstruction

李振、李春晨、朱永玲

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上海市嘉定区中心医院(上海 201899)

上海市普陀区利群医院(上海 200333)

外伤性肋骨骨折 计算机断层扫描 多平面重建

上海市嘉定区卫生健康委员会科研计划项目

2021-KY-02

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(2)
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