首页|256层螺旋CT与MRI对膝关节隐性创伤骨折的诊断价值观察

256层螺旋CT与MRI对膝关节隐性创伤骨折的诊断价值观察

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目的 分析256层螺旋CT与磁共振成像(MRI)对膝关节隐性创伤骨折的诊断价值.方法 选取2019年11月~2023年11月期间收治的膝关节骨折患者86例,回顾性分析其临床资料.所有患者均实施手术治疗,术前实施256层螺旋CT与MRI检查.分析256层螺旋CT与MRI检查对膝关节隐性创伤骨折的诊断价值.结果 86例患者中,共79例患者发生膝关节隐性创伤骨折,其中以胫骨近端、腓骨近端、髌骨、股骨远端出现隐性创伤骨折为主.256层螺旋CT检查诊断中,诊断准确度为93.02%,敏感度为93.67%,特异度为85.71%,Kappa值为0.630.MRI检查诊断中,诊断准确度为94.19%,敏感度为94.94%,特异度为85.71%,Kappa值为0.675.结论 256层螺旋CT检查与MRI检查诊断膝关节隐性创伤骨折的诊断价值均较高.
Diagnostic Value of 256-slice Spiral CT and MRI on Recessive Traumatic Fracture of Knee Joint
Objective To analyze the diagnostic value of 256-slice spiral CT and magnetic resonance imaging(MRI)on recessive traumatic fracture of knee joint.Methods 86 patients with knee joint fractures admitted were selected from November 2019 to November 2023,and their clinical data were retrospectively analyzed.All patients underwent surgical treatment,and performed 256-slice spiral CT and MRI before surgery.The diagnostic value of 256-slice spiral CT and MRI on recessive traumatic fractures of knee joint was analyzed.Results Among the 86 patients,79 patients had recessive traumatic fractures of knee joint,mainly in the proximal tibia,proximal fibula,patella,and distal femur.The diagnostic accuracy,sensitivity,specificity and Kappa value were 93.02%,93.67%,85.71%and 0.630 of 256-slice spiral CT examination,and were 94.19%,94.94%,85.71%and 0.675 of MRI.Conclusion The diagnostic value of 256-slice spiral CT and MRI is high in the diagnosis of recessive traumatic fractures of knee joint.

256-slice Spiral CTMagnetic Resonance ImagingKnee JointRecessive Traumatic FracturesDiagnostic Value

肖辉、陈乐、郭新明、孙习勇

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新乡市第一人民医院骨科二病区

新乡市第一人民医院疾病预防控制科(河南新乡 453000)

256层螺旋CT 磁共振成像 膝关节 隐性创伤骨折 诊断价值

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(10)