CT理论与应用研究2011，Vol.20Issue(2)：269-276,8.
MSCT和DR在骶椎骨折诊断中的临床价值对比
The Comparison of Clinical Diagnosis Value about Sacral Fracture with MSCT and DR
徐官珍 1付传明 2龚晓虹 2陈平有2
作者信息
- 1. 湖北十堰市妇幼保健院放射科,湖北,十堰,442000
- 2. 湖北医药学院附属太和医院放射影像中心,湖北,十堰,442000
- 折叠
摘要
Abstract
Objective: To compare the diagnosis accuracy of sacral fracture between DR and MSCT and evaluate their guiding value to clinic treatment. Methods: Datum of DR and MSCT were analyzed retrospectively in 50 patients with sacral fracture. DR included the posteroanterior and lateral film. MSCT included valume rendering (VR) multi-plane recombination (MPR) and maximum intensity projection (MIP). Then we compared the diagnosis rating and classification between DR and MSCT, compared with operation results partly. Results: DR made a definite diagnosis of 26 cases (52％), missed diagnosis of 20 cases (40％) and suspected diagnosis of 4 cases (8％). MSCT made a definite diagnosis of 49 cases (98％), suspected diagnosis 1 cases (2％). The cases of definite diagnosis were classified with Denis method. 19 cases (73.08％) are classified correctly by DR. 49 (100％) by MSCT. Thus it can be seen that there is noticeable statistic meaning in diagnosis rating and classification between DR and MSCT (P＜0.01). 33 cases with sacral fracture received conservative treatment. 17 cases received operation. Operation observation and MSCT diagnosis is accordant. Conclusion: There is significant difference between DR and MSCT in diagnosis and classification of sacral fracture. DR can be early-stage screening examination, while MSCT can be routine examination and provide more valuable information for clinical diagnosis and treatment.关键词
数字X线摄影/体层摄影术/X线计算机/骶椎骨折Key words
digital X-ray photograph/ tomography/ X-ray computer/ sacral fracture分类
医药卫生引用本文复制引用
徐官珍,付传明,龚晓虹,陈平有..MSCT和DR在骶椎骨折诊断中的临床价值对比[J].CT理论与应用研究,2011,20(2):269-276,8.
