中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
12期
117-120
,共4页
多层螺旋CT%核磁共振成像%细微及隐匿性骨折%阳性率%特异性
多層螺鏇CT%覈磁共振成像%細微及隱匿性骨摺%暘性率%特異性
다층라선CT%핵자공진성상%세미급은닉성골절%양성솔%특이성
Multi Slice Spiral CT%Magnetic Resonance Imaging%Subtle and Occult Fractures%Positive Rate%Specificity
目的：探讨研究MSCT与MRI诊断细微及隐匿性骨折中的阳性率和特异性。方法选取我院超声科收治的180例细微及隐匿性骨折患者，分别采用MSCT和MRI对骨折部位进行检测诊断，对比两种检测方法的检出结果、阳性率和特异性。结果 MSCT细微及隐匿性骨折检出率为85.56％，MRI检查结果显示检出率为96.67％，差异具有显著统计学意义(P=0.000)；MSCT在检测衰竭骨折、疲劳骨折、隐性创伤骨折方面特异度较MRI稍高，差异不具有统计学意义(P＞0.05)，在检测隐性股内骨折方面特异度(74.29％)和MRI(94.29％)差异具有统计学意义(P=0.049)。结论采用MSCT和MRI在诊断细微及隐匿性骨折方面均具有一定的应用价值，但是MRI检出率和特异度较高，可以为临床鉴定和治疗提供更可靠的数据。
目的：探討研究MSCT與MRI診斷細微及隱匿性骨摺中的暘性率和特異性。方法選取我院超聲科收治的180例細微及隱匿性骨摺患者，分彆採用MSCT和MRI對骨摺部位進行檢測診斷，對比兩種檢測方法的檢齣結果、暘性率和特異性。結果 MSCT細微及隱匿性骨摺檢齣率為85.56％，MRI檢查結果顯示檢齣率為96.67％，差異具有顯著統計學意義(P=0.000)；MSCT在檢測衰竭骨摺、疲勞骨摺、隱性創傷骨摺方麵特異度較MRI稍高，差異不具有統計學意義(P＞0.05)，在檢測隱性股內骨摺方麵特異度(74.29％)和MRI(94.29％)差異具有統計學意義(P=0.049)。結論採用MSCT和MRI在診斷細微及隱匿性骨摺方麵均具有一定的應用價值，但是MRI檢齣率和特異度較高，可以為臨床鑒定和治療提供更可靠的數據。
목적：탐토연구MSCT여MRI진단세미급은닉성골절중적양성솔화특이성。방법선취아원초성과수치적180례세미급은닉성골절환자，분별채용MSCT화MRI대골절부위진행검측진단，대비량충검측방법적검출결과、양성솔화특이성。결과 MSCT세미급은닉성골절검출솔위85.56％，MRI검사결과현시검출솔위96.67％，차이구유현저통계학의의(P=0.000)；MSCT재검측쇠갈골절、피로골절、은성창상골절방면특이도교MRI초고，차이불구유통계학의의(P＞0.05)，재검측은성고내골절방면특이도(74.29％)화MRI(94.29％)차이구유통계학의의(P=0.049)。결론채용MSCT화MRI재진단세미급은닉성골절방면균구유일정적응용개치，단시MRI검출솔화특이도교고，가이위림상감정화치료제공경가고적수거。
Objective To investigate the positive rate and specificity of MSCT and MRI in diagnosis of subtle and occult fractures.Methods 180 cases of subtle and occult fracture patients were selected from our hospital, and the diagnosis was made by MRI and MSCT respectively. The results of the two detection methods were compared.Results The detection rate of MSCT and occult fracture was 85.56%, and the detection rate of MRI was 96.67%, the difference was statistically significant (P=0.000).The specificity of MSCT in the detection of failure fracture, fatigue fracture and occult fracture is higher than MRI,but the difference was not statistically significant (P>0.05),which was statistically significant (P=0.049) in specificity of the detection of the hidden fractures in the stock of MRI (74.29%) and MSCT (94.29%).Conclusion Both MSCT and MRI have certain application value in the diagnosis of subtle and occult fractures, but the detection rate and specificity of MRI can provide more reliable data for clinical evaluation and treatment.
