CAJ | 학술논문

目的探究采用多层螺旋CT与核磁共振成像联合诊断腕关节损伤的情况.方法调查研究我院在2012年1月至2014年9月间收治的168例腕关节损伤患者,分析其临床资料,根据检查方法的不同,将本组患者随机分成三组,各56例,分别给予多层螺旋CT检查、核磁共振成像检查和多层螺旋CT联合核磁共振成像检查.分析三组患者的不同检查方法的诊断情况,以及不同检查方法的优势.结果多层螺旋CT组的检出率为73.21％,核磁共振成像组的检出率为75.00％,联合组的检出率为96.43％,经统计学分析差异无统计学意义(P＞0.05),而联合组患者的检出率明显高于多层螺旋CT组和核磁共振成像组(P＜0.05);多层螺旋CT联合核磁共振成像检查对于腕关节损伤的检出率显著高于单纯一种检查方式的检出率(P＜0.05).结论对于腕关节损伤的患者,采用多层螺旋CT联合核磁共振成像的诊断的效果最佳,能够综合两种检查方法的优势,提高检出率,明确具体损伤情况,值得临床推广使用.
목적 탐구채용다층라선CT여핵자공진성상연합진단완관절손상적정황.방법 조사연구아원재2012년1월지2014년9월간수치적168례완관절손상환자,분석기림상자료,근거검사방법적불동,장본조환자수궤분성삼조,각56례,분별급여다층라선CT검사、핵자공진성상검사화다층라선CT연합핵자공진성상검사.분석삼조환자적불동검사방법적진단정황,이급불동검사방법적우세.결과 다층라선CT조적검출솔위73.21％,핵자공진성상조적검출솔위75.00％,연합조적검출솔위96.43％,경통계학분석차이무통계학의의(P＞0.05),이연합조환자적검출솔명현고우다층라선CT조화핵자공진성상조(P＜0.05);다층라선CT연합핵자공진성상검사대우완관절손상적검출솔현저고우단순일충검사방식적검출솔(P＜0.05).결론 대우완관절손상적환자,채용다층라선CT연합핵자공진성상적진단적효과최가,능구종합량충검사방법적우세,제고검출솔,명학구체손상정황,치득림상추엄사용.
Objective To explore significance of multi-slice spiral CT combined with magnetic resonance imaging in the diagnose of wrist joint injury.Methods 168 patients with wrist joint injury admitted into our hospital from January,2012 to September,2014 were investigated.Their clinical data were analyzed.According the different examination methods,the patients were randomly divided into three groups,56 cases for each group.These 3 groups were given multi-slice spiral CT examination,magnetic resonance imaging examination,and multi-slice spiral CT combined with magnetic resonance imaging examination,respectively.The diagnosis situations and the advantages of different examination methods of the three groups were analyzed.Results The detection rate of multi-slice spiral CT was 73.21％,that of magnetic resonance imaging 75.00％,and that of the combination group 96.43％.The statistical analysis showed that there were no significant differences (P＞ 0.05).However,the detection rate of the combination group was significantly higher than those multi-slice spiral CT and magnetic resonance imaging (P ＜0.05);The detection rate of the combination of multi-slice spiral CT and magnetic resonance imaging was significantly higher than that of just one of these two examination methods(P ＜0.05).Conclusions Multi-slice spiral CT combined with magnetic resonance imaging in the diagnosis of wrist joint injury is most effective.It synthesizes the advantages of the two examination methods,improves the detection rate,and makes the specific injury situation clear.It's worth being clinically generalized.