CAJ | 학술논문

目的：研究MRI与CT诊断胫骨平台骨折的临床效果。方法选取我院105例胫骨平台骨折患者为研究对象，受检者均行MRI、CT检查，将检查结果与手术病理诊断结果进行比较，以分析胫骨平台骨折患者MRI与CT检查特点。结果两种检测方式对骨折粉碎、骨折移位、骨缺损、骨折部位显示效果比较无统计学意义(P＞0.05)；手术病理证实B1型27例、B2型20例、B3型11例、C1型28例、C2型11例、C3型8例，CT诊断符合率分别为88.89%、95.00%、100.00%、82.14%、90.91%、87.50%，与MRI 100.00%、100.00%、100.00%、92.86%、100.00%、100.00%比较无统计学意义(P＞0.05)，但MRI部分骨型诊断符合率偏高；CT诊断骨折及分型准确率分别为93.33%、90.48%与MRI诊断98.10%、97.14%比较较低，其中分型符合率比较有统计学意义(P＜0.05)。结论 MRI与CT均为胫骨平台骨折诊断有效方式，两者比较以MRI价值偏高。
목적：연구MRI여CT진단경골평태골절적림상효과。방법선취아원105례경골평태골절환자위연구대상，수검자균행MRI、CT검사，장검사결과여수술병리진단결과진행비교，이분석경골평태골절환자MRI여CT검사특점。결과량충검측방식대골절분쇄、골절이위、골결손、골절부위현시효과비교무통계학의의(P＞0.05)；수술병리증실B1형27례、B2형20례、B3형11례、C1형28례、C2형11례、C3형8례，CT진단부합솔분별위88.89%、95.00%、100.00%、82.14%、90.91%、87.50%，여MRI 100.00%、100.00%、100.00%、92.86%、100.00%、100.00%비교무통계학의의(P＞0.05)，단MRI부분골형진단부합솔편고；CT진단골절급분형준학솔분별위93.33%、90.48%여MRI진단98.10%、97.14%비교교저，기중분형부합솔비교유통계학의의(P＜0.05)。결론 MRI여CT균위경골평태골절진단유효방식，량자비교이MRI개치편고。
Objective To study the clinical effect of MRI and CT in diagnosis of tibial plateau fractures.Methods 105 cases of patients with tibial plateau fractures in the hospital were selected as the research object. All of the subjects received MRI and CT examination. The examination results were compared with the results of surgical and pathological diagnosis to analyze the features of MRI and CT for patients with tibial plateau fractures.Results The differences in the display results of the two kinds of detection methods for comminuted fracture, displacement fracture, bone defect, fracture sites were not statistically significant (P>0.05); surgical pathology confirmed that there were 27 cases of type B1, 20 cases of type B2, 11 cases of type B3, 28 cases of type C1, 11 cases of type C2 and 8 cases of type C3. The diagnose accordance rates of CT diagnosis respectively were 88.89%, 95%, 100.00%, 82.14%, 90.91% and 87.50%. There was no significant difference, compared with 100.00%, 100.00%, 100.00%, 92.86%, 100.00% and 100.00% (P>0.05)but the diagnose accordance rates of MRI diagnosis for parts of the bone types was too high; the accuracy of CT in diagnosis of fracture and classification of types were 93.33% and 90.48% which were relatively lower than 98.10% and 97.14% of MRI diagnosis. The coincidence rate of classification of types was statistically significant (P<0.05).Conclusion MRI and CT were effective ways for diagnosis of tibial plateau fractures, while between the two, the value of MRI was higher.