中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2015年
4期
29-30,68
,共3页
16层螺旋CT%DR胸片%肋骨骨折%应用价值
16層螺鏇CT%DR胸片%肋骨骨摺%應用價值
16층라선CT%DR흉편%륵골골절%응용개치
16 layers spiral CT%DR chest radiograph%rib fracture%application value
目的：探析16层螺旋CT与DR胸片在诊断肋骨骨折的诊断价值。方法：对医院2013年1月-2014年11月收治的68例肋骨骨折患者分别进行16层螺旋CT与DR胸片检查，分析患者肋骨骨折部位，对比两组检查方法用于诊断肋骨骨折的准确率和漏诊情况。结果：本组68例患者经过16层螺旋CT与DR胸片检查及临床症状证实一共有138处肋骨骨折，16层螺旋CT诊断肋骨骨折确诊率为97.10%，明显高于DR胸片诊断肋骨骨折确诊率78.99%，两种诊断方式确诊率比较P＜0.05具有统计学意义；16层螺旋CT诊断肋骨骨折漏诊率为2.90%，明显低于DR胸片诊断肋骨骨折漏诊率的20.01%，两组诊断方式从漏诊率方面分析差异比较P＜0.05具有统计学意义。结论：16层螺旋CT诊断肋骨骨折确诊率及漏诊率均优于DR胸片，其临床推广价值极高，值得在临床中大力应用。
目的：探析16層螺鏇CT與DR胸片在診斷肋骨骨摺的診斷價值。方法：對醫院2013年1月-2014年11月收治的68例肋骨骨摺患者分彆進行16層螺鏇CT與DR胸片檢查，分析患者肋骨骨摺部位，對比兩組檢查方法用于診斷肋骨骨摺的準確率和漏診情況。結果：本組68例患者經過16層螺鏇CT與DR胸片檢查及臨床癥狀證實一共有138處肋骨骨摺，16層螺鏇CT診斷肋骨骨摺確診率為97.10%，明顯高于DR胸片診斷肋骨骨摺確診率78.99%，兩種診斷方式確診率比較P＜0.05具有統計學意義；16層螺鏇CT診斷肋骨骨摺漏診率為2.90%，明顯低于DR胸片診斷肋骨骨摺漏診率的20.01%，兩組診斷方式從漏診率方麵分析差異比較P＜0.05具有統計學意義。結論：16層螺鏇CT診斷肋骨骨摺確診率及漏診率均優于DR胸片，其臨床推廣價值極高，值得在臨床中大力應用。
목적：탐석16층라선CT여DR흉편재진단륵골골절적진단개치。방법：대의원2013년1월-2014년11월수치적68례륵골골절환자분별진행16층라선CT여DR흉편검사，분석환자륵골골절부위，대비량조검사방법용우진단륵골골절적준학솔화루진정황。결과：본조68례환자경과16층라선CT여DR흉편검사급림상증상증실일공유138처륵골골절，16층라선CT진단륵골골절학진솔위97.10%，명현고우DR흉편진단륵골골절학진솔78.99%，량충진단방식학진솔비교P＜0.05구유통계학의의；16층라선CT진단륵골골절루진솔위2.90%，명현저우DR흉편진단륵골골절루진솔적20.01%，량조진단방식종루진솔방면분석차이비교P＜0.05구유통계학의의。결론：16층라선CT진단륵골골절학진솔급루진솔균우우DR흉편，기림상추엄개치겁고，치득재림상중대력응용。
Objective: To article 16 layers spiral CT and DR to assess the diagnostic value of X-ray in the diagnosis of rib fracture. Methods: In our hospital in January 2013, 2014 - November 68 patients with rib fractures were treated with 16 layers spiral CT and DR chest X-ray examination, analysis of rib fracture patients, compared two groups of test used to diagnose the accuracy in fractured ribs and missed diagnosis. Results: This group of 68 patients after 16 layers spiral CT and DR chest X-ray examination and clinical symptoms confirmed a total of 138 rib fractures, 16 layers spiral CT in the diagnosis of rib fracture diagnosis rate was 97.10%, significantly higher than the DR X-ray diagnosis of rib fracture diagnosis rate is 78.99%, two diagnosis way confirmed rate P<0.05 statistically significant; 16 layers spiral CT in the diagnosis of rib fracture the missed diagnosis rate was 2.90%, significantly lower than the DR X-ray diagnosis of rib fracture 20.01% of missed diagnosis, the diagnosis method from the aspects of the missed diagnosis analysis similar between the two groups compare P<0.05 statistically significant. Conclusion: 16 layers spiral CT in the diagnosis of rib fracture diagnosis rate and missed diagnosis were superior to DR chest radiograph, its clinical value is extremely high, is worth in clinical application.
