CAJ | 학술논문

目的：探讨DR跟骨俯卧轴位投照在跟骨骨折的临床诊断价值。方法对68例跟骨外伤患者分别进行足部正斜位、底部轴位以及跟骨俯卧轴位的DR投照拍片，取得患者的不同部位的DR片图像进行对比分析。结果68例跟骨外伤患者经过X线或CT扫描确诊为跟骨骨折的有60例，采用足部正斜位DR检查发现跟骨骨折29例，底部轴位DR检查发现跟骨骨折43例，跟骨俯卧轴位DR检查发现跟骨骨折55例。三种轴位的DR检查的跟骨骨折显示率分别为48.3%、71.7%和91.7%；三种轴位DR检查的显示率两两组间比较差异均有统计学意义(P<0.05)。结论跟骨俯卧轴位的DR拍摄具有较高的显示率，可提高跟骨骨折的诊断率，值得临床推广应用。
목적：탐토DR근골부와축위투조재근골골절적림상진단개치。방법대68례근골외상환자분별진행족부정사위、저부축위이급근골부와축위적DR투조박편，취득환자적불동부위적DR편도상진행대비분석。결과68례근골외상환자경과X선혹CT소묘학진위근골골절적유60례，채용족부정사위DR검사발현근골골절29례，저부축위DR검사발현근골골절43례，근골부와축위DR검사발현근골골절55례。삼충축위적DR검사적근골골절현시솔분별위48.3%、71.7%화91.7%；삼충축위DR검사적현시솔량량조간비교차이균유통계학의의(P<0.05)。결론근골부와축위적DR박섭구유교고적현시솔，가제고근골골절적진단솔，치득림상추엄응용。
Objective To investigate the DR calcaneal prone axial projection value in clinical diagnosis of fracture of calcaneus. Methods 68 cases of calcaneal injury patients were foot is oblique, bottom axial and calcaneal prone axial DR projection of films, made in different parts of the DR slice images of patients were analyzed. Results 68 cases of calcaneal injury patients after X-ray or CT scan confirmed the diagnosis of calcaneal fractures in 60 cases, found 29 cases of calcaneal fractures by foot is oblique DR inspection, the bottom axial DR examination revealed 43 cases of calcaneal fractures of calcaneus prone, axial DR examination re-vealed 55 cases of calcaneal fractures. Three kinds of axial DR examination of fractures of the calcaneus showed rates were 48.3%, 71.7%and 91.7%;the three axial DR checking showed that the rate difference between the two groups were statistically significant (P<0.05). Conclusion Calcaneal prone axial DR shooting the show rate is high, can improve the diagnosis of calcaneal fracture rate, worthy of clinical application.