中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
105-105,107
,共2页
颅底骨折%多层螺旋CT%常规CT%检出率%比较研究
顱底骨摺%多層螺鏇CT%常規CT%檢齣率%比較研究
로저골절%다층라선CT%상규CT%검출솔%비교연구
Skull base fracture%Multi slice spiral CT%Conventional CT%Detection rate%Comparative study
目的：分析和比较多层螺旋 CT 和常规 CT 诊断颅底骨折，为颅底骨折患者的临床诊断方法的选择提供借鉴。方法：2011年1月-2014年1月收治疑似颅底损伤患者42例，回顾性分析其临床资料，所有患者均采用多层螺旋CT与常规CT进行检测。结果：其中多层螺旋CT方法显示颅底骨折37例，检出率88.09%(37/42)；常规CT方法显示颅底骨折23例，检出率54.76%(23/42)，差异具有统计学意义(P＜0.05)。结论：脑外科临床上采用多层螺旋CT诊断颅底骨折具有较高的临床检出率，该方法能显著提高疾病诊断的准确度和灵敏度，对于疾病后续治疗方案的确定具有十分重要的临床意义，因此值得临床推广使用。
目的：分析和比較多層螺鏇 CT 和常規 CT 診斷顱底骨摺，為顱底骨摺患者的臨床診斷方法的選擇提供藉鑒。方法：2011年1月-2014年1月收治疑似顱底損傷患者42例，迴顧性分析其臨床資料，所有患者均採用多層螺鏇CT與常規CT進行檢測。結果：其中多層螺鏇CT方法顯示顱底骨摺37例，檢齣率88.09%(37/42)；常規CT方法顯示顱底骨摺23例，檢齣率54.76%(23/42)，差異具有統計學意義(P＜0.05)。結論：腦外科臨床上採用多層螺鏇CT診斷顱底骨摺具有較高的臨床檢齣率，該方法能顯著提高疾病診斷的準確度和靈敏度，對于疾病後續治療方案的確定具有十分重要的臨床意義，因此值得臨床推廣使用。
목적：분석화비교다층라선 CT 화상규 CT 진단로저골절，위로저골절환자적림상진단방법적선택제공차감。방법：2011년1월-2014년1월수치의사로저손상환자42례，회고성분석기림상자료，소유환자균채용다층라선CT여상규CT진행검측。결과：기중다층라선CT방법현시로저골절37례，검출솔88.09%(37/42)；상규CT방법현시로저골절23례，검출솔54.76%(23/42)，차이구유통계학의의(P＜0.05)。결론：뇌외과림상상채용다층라선CT진단로저골절구유교고적림상검출솔，해방법능현저제고질병진단적준학도화령민도，대우질병후속치료방안적학정구유십분중요적림상의의，인차치득림상추엄사용。
Objective:To analyze and compare multi slice spiral CT and conventional CT in the diagnosis of skull base fracture,to provide reference for the selection of clinical diagnosis method for patients with skull base fracture.Methods:42 patients with suspected skull base damage were selected from January 2011 to January 2014.The clinical data were retrospectively analyzed.All patients were detected by multi slice spiral CT and conventional CT.Results:The multi slice spiral CT method displayed skull base fracture in 37 cases,and the detection rate was 88.09%(37/42).The conventional CT method displayed skull base fracture in 23 cases,the detection rate was 54.76% (23/42).The difference was statistically significant(P<0.05).Conclusion:Using multi slice spiral CT in the diagnosis of skull base fracture on the brain surgery clinical has higher clinical detection rate.This method can significantly increase the accurately and sensitivity of disease diagnosis.It has important clinical significance to determine disease follow-up treatment.So it is worthy of clinical use.
