数字化DR胸部正斜位摄片在急诊肋骨骨折患者中的诊断价值OA
The Diagnostic Value of Digital DR Chest Radiography in Patients with Emergency Rib Fracture
目的:探讨与分析数字化DR胸部正斜位摄片在急诊肋骨骨折患者中的诊断价值.方法:选择 2021年 8月—2023年 5月我院收治的 192例急诊肋骨骨折患者为研究对象,所有患者都给予传统X线与数字化DR胸部正斜位摄片检查,同时所有患者都给予手术检查,判断诊断价值.结果:在 192例患者中,数字化DR胸部正斜位摄片检查的图像优良率为97.40%,高于传统X线的 84.90%,差异有统计学意义(P<0.05).手术确诊为肋骨骨折 142例(骨折组),其中隐匿性骨折32例、多发性骨折 68例、单发性骨折 42例.传统X线判断为肋骨骨折 126例,其中隐匿性骨折 26例、多发性骨折 64例、单发性骨折36例.数字化DR胸部正斜位摄片判断为肋骨骨折141例,其中隐匿性骨折31例、多发性骨折68例、单发性骨折 42例.数字化DR胸部正斜位摄片对隐匿性骨折、多发性骨折、单发性骨折的检出率为 96.88%、100.00%、100.00%,传统X线为 81.25%、94.12%、85.71%,组间比较差异有统计学意义(P<0.05).传统X线与数字化DR胸部正斜位摄片诊断肋骨骨折的灵敏度为 87.32%、99.30%,特异性为 96.00%、100.00%,数字化DR胸部正斜位摄片诊断肋骨骨折的灵敏度高于传统X线,组间差异有统计学意义(P<0.05).结论:数字化DR胸部正斜位摄片在急诊肋骨骨折患者中的应用具有很高的图像优良率,对不同类型的骨折都有很高的检出率,还可提高诊断的总体灵敏度.
Objective:To explore and analyze the diagnostic value of digital DR Chest radiography in emergency patients with rib fractures.Methods:192 emergency patients with rib fractures admitted to our hospital from August 2021 to May 2023 were selected as the research objects.All patients were examined by traditional X-ray and digital DR Chest anteroposterior oblique radiography,and all patients were given surgical examination to determine the diagnostic value.Results:Among 192 patients,the excellent and good rate of digital DR Chest anterooblique radiography was 97.40%,which was higher than 84.90%of traditional X-ray radiography,and the difference was statistically significant(P<0.05).There were 142 cases of rib fractures(fracture group),including 32 cases of occult fractures,68 cases of multiple fractures,and 42 cases of single fractures.There were 126 cases of rib fractures judged by traditional X-ray,including 26 cases of occult fractures,64 cases of multiple fractures,and 36 cases of single fracture.141 cases of rib fractures were judged by digital DR Chest anterooblique radiography,including 31 cases of occult fractures,68 cases of multiple fractures,and 42 cases of single fracture.The detection rates of occult fractures,multiple fractures,and single fractures in digital DR Chest anterooblique radiography were 96.88%,100.00%,and 100.00%,respectively,and those in traditional X-ray radiography were 81.25%,94.12%,and 85.71%,respectively,the differences between the two groups were statistically significant(P<0.05).The sensitivity of traditional X-ray and digital DR Chest anterooblique radiography in the diagnosis of rib fracture was 87.32%and 99.30%,and the specificity was 96.00%and 100.00%,the sensitivity of digital DR Chest anterooblique radiography in the diagnosis of rib fracture was higher than that of traditional X-ray,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The application of digital DR Chest anterooblique radiography in emergency patients with rib fractures has a high image excellent rate,a high detection rate for different types of fractures,and can also improve the overall sensitivity of diagnosis.
王雪山;王俊霞;鲁璐;柳彦君
山东文登整骨烟台医院影像科,山东 烟台 264000
临床医学
数字化DR胸部正斜位摄片急诊肋骨骨折图像优良率灵敏度诊断价值
Digital DRThe chest radiograph was taken in anterooblique positionEmergency departmentFractured ribsThe excellent and good rate of imagesSensitivityDiagnostic value
《中国伤残医学》 2024 (008)
15-18 / 4
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