中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
20期
6-7,8
,共3页
创伤性%细微骨折%MRI
創傷性%細微骨摺%MRI
창상성%세미골절%MRI
Traumatic%Small fracture%MRI
目的:分析研究创伤性细微骨折的MRI影像学表现及其临床应用。方法对我院在2012年5月至2014年3月收治的46例创伤性细微骨折患者的MRI影像及临床表现进行分析,统计骨折的部位、形态以及MRI信号等。结果本次研究的46例外伤患者通过MRI检查均显示有细微骨折或骨挫伤,其病灶总计67个。病灶在TlWI、T2WI及STIR不同的序列上清晰显示率分别为95.66%、63.04%、100%,T1WI及STIR与T2WI相比(χ2=11.5907、14.6667,P<0.05),STIR与T1WI相比(χ2=1.0154,P>0.05)。且MRI主要表现为线条形、地图样或者不规则的斑片状SE(T1WI)低信号,FSE(T2WI)序列表现为等或者稍高的信号区域,其中心最高;STIR表现为明显的较高信号影,边界比较清楚。结论对于创伤性细微骨折来说,MRI检查具有较高的敏感性,尤其是脂肪抑制序列的应用,有明显的价值;能较清晰得显示病变位置、数目和骨折程度,为诊断和治疗提供准确临床依据,有利于预后,能够有效减少或者避免误诊和漏诊,具有重要的临床应用价值。
目的:分析研究創傷性細微骨摺的MRI影像學錶現及其臨床應用。方法對我院在2012年5月至2014年3月收治的46例創傷性細微骨摺患者的MRI影像及臨床錶現進行分析,統計骨摺的部位、形態以及MRI信號等。結果本次研究的46例外傷患者通過MRI檢查均顯示有細微骨摺或骨挫傷,其病竈總計67箇。病竈在TlWI、T2WI及STIR不同的序列上清晰顯示率分彆為95.66%、63.04%、100%,T1WI及STIR與T2WI相比(χ2=11.5907、14.6667,P<0.05),STIR與T1WI相比(χ2=1.0154,P>0.05)。且MRI主要錶現為線條形、地圖樣或者不規則的斑片狀SE(T1WI)低信號,FSE(T2WI)序列錶現為等或者稍高的信號區域,其中心最高;STIR錶現為明顯的較高信號影,邊界比較清楚。結論對于創傷性細微骨摺來說,MRI檢查具有較高的敏感性,尤其是脂肪抑製序列的應用,有明顯的價值;能較清晰得顯示病變位置、數目和骨摺程度,為診斷和治療提供準確臨床依據,有利于預後,能夠有效減少或者避免誤診和漏診,具有重要的臨床應用價值。
목적:분석연구창상성세미골절적MRI영상학표현급기림상응용。방법대아원재2012년5월지2014년3월수치적46례창상성세미골절환자적MRI영상급림상표현진행분석,통계골절적부위、형태이급MRI신호등。결과본차연구적46예외상환자통과MRI검사균현시유세미골절혹골좌상,기병조총계67개。병조재TlWI、T2WI급STIR불동적서렬상청석현시솔분별위95.66%、63.04%、100%,T1WI급STIR여T2WI상비(χ2=11.5907、14.6667,P<0.05),STIR여T1WI상비(χ2=1.0154,P>0.05)。차MRI주요표현위선조형、지도양혹자불규칙적반편상SE(T1WI)저신호,FSE(T2WI)서렬표현위등혹자초고적신호구역,기중심최고;STIR표현위명현적교고신호영,변계비교청초。결론대우창상성세미골절래설,MRI검사구유교고적민감성,우기시지방억제서렬적응용,유명현적개치;능교청석득현시병변위치、수목화골절정도,위진단화치료제공준학림상의거,유리우예후,능구유효감소혹자피면오진화루진,구유중요적림상응용개치。
Objective To analysis and study of traumatic bone MRI imaging ifndings and its clinical application. Methods In our hospital from May 2012 to March 2014 period were treated 46 patients with traumatic fracture of subtle MRI imaging and clinical manifestations were analyzed, statistical fracture location, shape and MRI signals. Results 46 cases of traumatic patients in this study by MRI examination showed subtle fractures or bone contusion, its total 67 lesions. Clear focus on the different sequences TlWI, T2WI and STIR display rate of 95.66%, 63.04%and 100%, T1WI and T2WI compared with STIR(χ2=11.5907, 14.6667, P<0.05), STIR compared with T1WI(χ2=1.0154, P>0.05). And MRI mainly for the line shape, map-like or irregular patchy SE (T1WI) low signal, FSE (T2WI) or the signal sequence and other regions showed slightly higher, its highest centre;STIR showed signiifcantly higher signal intensity, the boundary more clearly. Conclusion Traumatic small fracture, MRI examination has a high sensitivity, especially the application of fat suppression sequences, there is obvious value, can clearly display the location of lesions, provide clinical basis for the diagnosis and treatment, is beneifcial to the prognosis, to avoid misdiagnosis and missed diagnosis or effective reduction, which has important value in clinical application.