多层螺旋CT及MRI联合诊断踝关节骨折分型与预后的价值OA
The value of Combining multi-Slice spiral CT And MRI in Diagnosing the Classification And Prognosis of Ankle Fractures
目的 分析多层螺旋CT及磁共振成像(MRI)联合诊断踝关节骨折分型与预后的价值.方法 选择2021年3月至2024年3月期间沭阳仁慈医院诊治的57例踝关节骨折患者,以手术确诊结果为"金标准",评估CT与MRI联合诊断在踝关节骨折分型及预后判断中的价值.结果 Kappa分析显示,CT与MRI检查踝关节骨折分型与手术诊断结果的一致性一般,但两者联合检查的一致性较好.术后6个月,MRI对旋后外翻(SER)型骨折解剖复位的检出率高于CT(P＜0.05);CT和MRI对旋后内收(SA)型、旋前外翻(PER)型、旋前外展(PA)型及垂直压缩(Pi-lon)型解剖复位的检出率对比,P＞0.05.结论 CT与MRI联合检查诊断踝关节骨折分型和骨折复位效果的价值较高.
Objective:To analyze the value of combining multi-slice spiral CT and magnetic resonance imaging(MRI)in diagnosing the classification and prognosis of ankle fractures.Methods:From March 2021 to March 2024,57 patients with ankle fracture treated in Shuyang Renci Hospital were selected,and the results of surgical diagnosis were taken as the"gold standard"to evaluate the value of combined diagnosis of CT and MRI in ankle fracture clas-sification and prognosis judgment.Results:Kappa analysis showed that CT and MRI were generally consistent with the results of surgical diagnosis,but the combination of CT and MRI was better.Six months after operation,the de-tection rate of anatomical reduction of supination valgus(SER)fracture by MRI was higher than that by CT,P＜0.05.The detection rates of supination(SA),pronation eversion(PER),pronation abduction(PA)and vertical compression(Pilon)were compared by CT and MRI,P＞0.05.Conclusion:CT combined with MRI is of great value in the diagnosis of ankle fracture classification and fracture reduction.
刘小如;张祖彦;郭加权
沭阳仁慈医院影像科,江苏沭阳 223600沭阳仁慈医院影像科,江苏沭阳 223600沭阳仁慈医院影像科,江苏沭阳 223600
临床医学
多层螺旋CTMRI踝关节骨折分型预后价值
Multi slice spiral CTMRIClassification of ankle joint fracturesPrognostic value
《生命科学仪器》 2024 (5)
24-26,3
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