CAJ | 학술논문

目的探讨高频超声与多层螺旋CT诊断隐匿性肋骨骨折的价值。方法将50例隐匿性肋骨骨折病例按照知情自愿的原则分为两组，A组32例，B组18例分别行高频超声和MSCT检查，分析其图像资料。结果①A组超声诊断肋骨骨折30例(52根)，2例漏诊，诊断准确率93.75%。其中单发肋骨骨折20例，多发肋骨骨折11例，肋软骨骨折1例，骨折部位以第3~10前肋及腋缘多见，骨折断端错位0.5~6.5mm；②B组MSCT诊断肋骨骨折17例(35根)，1例漏诊，诊断准确率94.44%。其中单发肋骨骨折12例，多发肋骨骨折6例，完全性肋骨骨折21根，不完全性肋骨骨折14根，21根完全性肋骨骨折中断端错位均不超过3个皮质厚度；③两者诊断准确率基本一致，对骨折部位、数量及移位情况均能清晰显示。结论高频超声和多层螺旋CT诊断隐匿性肋骨骨折准确率均较高。综合考虑两者优缺点，超声检查可作为诊断隐匿性肋骨骨折的主要检查方法。
목적탐토고빈초성여다층라선CT진단은닉성륵골골절적개치。방법장50례은닉성륵골골절병례안조지정자원적원칙분위량조，A조32례，B조18례분별행고빈초성화MSCT검사，분석기도상자료。결과①A조초성진단륵골골절30례(52근)，2례루진，진단준학솔93.75%。기중단발륵골골절20례，다발륵골골절11례，륵연골골절1례，골절부위이제3~10전륵급액연다견，골절단단착위0.5~6.5mm；②B조MSCT진단륵골골절17례(35근)，1례루진，진단준학솔94.44%。기중단발륵골골절12례，다발륵골골절6례，완전성륵골골절21근，불완전성륵골골절14근，21근완전성륵골골절중단단착위균불초과3개피질후도；③량자진단준학솔기본일치，대골절부위、수량급이위정황균능청석현시。결론고빈초성화다층라선CT진단은닉성륵골골절준학솔균교고。종합고필량자우결점，초성검사가작위진단은닉성륵골골절적주요검사방법。
Objective To explore the value of high frequency ultrasound and MSCT in the diagnosis of occult fracture of rib. Methods 50 cases of occult rib fracture were in accordance with the principle of voluntary were divided into two groups, 32 cases of group A and group B, 18 cases of line of high frequency ultrasound and MSCT examination respectively, analysis of the image data. Results ①A set of ultrasonic diagnosis of rib fracture 30 cases (52), 2 cases of misdiagnosis, diagnosis accuracy rate 93.75%.Single fractured ribs on 20 cases, 11 cases multiple fractured ribs, costal cartilage fracture in 1 case, rib fracture with 3~10 before and axil ary edge, fracture dislocation, 0.5 to 6.5 mm.②The B group of MSCT in the diagnosis of rib fracture of 17 cases (35), 1 case of missed diagnosis, diagnostic accuracy of 94.44%.Single rib fractures in 12 cases, 6 cases of multiple fractured ribs, completeness fractured ribs 21 root, incomplete 14 root ribs fracture, 21 root complete interruption of fractured ribs end displacement are not more than three cortical thickness. ③both the accuracy rate of diagnosis is consistent, the fracture location, number and displacement can clearly display.Conclusion High frequency ultrasound and MSCT in the diagnosis of occult rib fracture were higher accuracy.Considering both the advantages and disadvantages, ultrasound can be as the main examination methods of diagnosing occult rib fracture.