| MSCT和DR在骶椎骨折诊断中的临床价值对比 |
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| 引用本文： | 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. |
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| 作者姓名： | 徐官珍 付传明 龚晓虹 陈平有 |
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| 作者单位： | 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 |
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| 摘 要： | 目的: 比较直接数字X线摄影(DR)和多排螺旋CT(MSCT)在骶椎骨折诊断中的准确性,并评价对临床治疗指导价值。资料与方法: 回顾性分析50例骶椎骨折患者的DR和MSCT资料。DR观察正、侧位片;MSCT观察容积再现(VR)、多平面重组(MPR)和最大密度投影(MIP)。在骶椎骨折诊断率、分类上进行比较并与手术结果对照。结果: DR确诊26例(52%),漏诊20例(40%),疑诊4例(8%)。MSCT明确诊断49例(98%),疑诊1例(2%),漏诊0例。对确诊的骶椎骨折进行Denis分类,DR正确分型19例(73.08%),MSCT正确分型49例(100%);DR和MSCT在诊断率、分类上具有明显统计学意义(P<0.01)。50例骶椎骨折患者,33例保守治疗,17例手术治疗,手术所见与MSCT诊断结果一致。结论: DR对骶椎骨折诊断率、分类上与MSCT有明显差异,DR作为骶椎骨折的前期筛选的检查方法,MSCT作为常规检查方法,为临床提供准确的影像信息和最佳的治疗方案。
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| 关 键 词： | 数字X线摄影 体层摄影术 X线计算机 骶椎骨折 |
| 收稿时间： | 2011-01-25 |
The Comparison of Clinical Diagnosis Value about Sacral Fracture with MSCT and DR |
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| XU Guan-zhen,FU Chuan-ming,GONG Xiao-hong,CHEN Ping-you.The Comparison of Clinical Diagnosis Value about Sacral Fracture with MSCT and DR[J].Computerized Tomography Theory and Applications,2011,20(2):269-276. |
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| Authors: | XU Guan-zhen FU Chuan-ming GONG Xiao-hong CHEN Ping-you |
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| Institution: | XU Guan-zhen 1,FU Chuan-ming 2,GONG Xiao-hong 2,CHEN Ping-you 2 1.Department of Radiology,Maternal and Child Health hospital,Hubei,Shiyan 442000,China 2.Radiology image center,Affiliated Taihe Hospital,Hubei university of medicine,China |
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| 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 mad... |
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| Keywords: | digital X-ray photograph tomography X-ray computer sacral fracture |
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