摘要
目的本文旨在研究CT检查在上肢骨折中临床诊治中的应用价值。方法回顾分析我院2017年1月至2019年5月收治的108例上肢骨折患者的临床资料,所有患者均接受CT检查。对108例患者所得CT图像进行分析,以临床诊断结果为基准,比较CT检查对不同骨折的检出符合率,以及对关节损伤情况检出率。结果CT检查对肩部骨折、肱骨干骨折、桡骨骨头骨折、掌指骨骨折检出符合率分别为96.15%、96.77%、95.23%、93.33%,与临床诊断结果比较差异无统计学意义(P>0.05)。有80例患者进行手术治疗,其手术检查出20例患者关节面断裂,关节面塌陷18例,关节内碎片骨22例,关节脱位15例。CT检查结果显示关节面断裂19例(95.00%),关节面塌陷17例(94.44%),关节内碎片骨21例(95.45%),关节脱位15例(100.00%),与手术检查结果比较差异无统计学意义(P>0.05)。结论CT检查可清楚显示骨折基本情况,有较高的检出率,对患者临床治疗有着较高的应用价值,值得临床推广应用。
Objective To study the application value of CT examination in the clinical diagnosis and treatment of upper limb fractures.Methods The clinical data of 108 patients with upper extremity fractures admitted to our hospital from January 2017 to May 2019 were retrospectively analyzed.All patients underwent CT examination.retrospectively analyzed.All patients underwent CT examination.The CT images obtained from 108 patients were analyzed.The results of clinical diagnosis were used as a benchmark to compare the accuracy of CT examinations for different fractures and to compare the detection rate of joint injuries.Results The accuracy of CT examination for shoulder fractures,humeral shaft fractures,humeral bone fractures,and metacarpal and phalangeal fractures were 96.15%,96.77%,95.23%,and 93.33%,respectively.There was no significant difference in accuracy between the CT examination and clinical diagnosis(P>0.05).80 patients underwent surgery.The surgical examination revealed 20 cases with fracture of articular surface,18 cases with articular surface collapse,22 cases with intra-articular fragment bone,and 15 cases with joint dislocation.CT examination showed that there were 19 cases(95.00%)with fracture of articular surface,17 cases(94.44%)with articular surface collapse,21 cases(95.45%)with intra-articular fragment bone,15 cases(100.00%)with joint dislocation.There was no significant difference in the result between the CT examination and surgery(P>0.05).Conclusion CT examination can clearly show the basic situation of fracture,and has higher detection rate,which has high application value for clinical treatment of patients,and it is worthy of clinical application.
作者
熊雄
何源亮
李旭
XIONG Xiong;HE Yuan-liang;LI Xu(Department of Orthopaedics,the First People's Hospital,Longquanyi District,Chengdu 610100,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2021年第9期186-188,共3页
Chinese Journal of CT and MRI
基金
四川省卫生和计划生育委员会项目(150042)。
关键词
CT
上肢骨折
临床诊疗
应用价值
桡骨骨折
CT
Upper Limb Fracture
Clinical Diagnosis and Treatment
Application Value
Fracture of Radius
作者简介
第一作者/通讯作者:熊雄,男,主治医师,主要研究方向:创伤。E-mail:646151146@qq.com。
