[1]李云广,熊亮,敖锋.核磁共振联合多层螺旋CT对下肢隐匿性骨折的临床诊断效果分析[J].中华老年骨科与康复电子杂志,2022,(04):211-216.[doi:DOI：10.3877/cma.j.issn.2096-0263.2022.04.004]
　Li Yunguang,Xiong Liang,Ao Feng..Analysis of the clinical diagnosis effect of MRI combined with multi-slice spiral CT in the occult fracture of lower limbs[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(04):211-216.[doi:DOI：10.3877/cma.j.issn.2096-0263.2022.04.004]
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核磁共振联合多层螺旋CT对下肢隐匿性骨折的临床诊断效果分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年04期
页码:
211-216
栏目:
三维影像
出版日期:
2022-08-05

文章信息/Info

Title:
Analysis of the clinical diagnosis effect of MRI combined with multi-slice spiral CT in the occult fracture of lower limbs
作者:
李云广1; 熊亮2; 敖锋3
442000 十堰市人民医院（湖北医药学院附属人民医院）脊柱外科1，放射科2，放射影像中心3
Author(s):
Li Yunguang1;  Xiong Liang2;  Ao Feng3.
1Department of Spinal Surgery, 2Department of Radiology. 3Department of Radiographic Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China
关键词:
诊断效能;  磁共振成像;  MSCT;  隐匿性骨折
Keywords:
Diagnostic efficacy;  Magnetic resonance imaging;  MSCT;  Occult fracture
DOI:
DOI：10.3877/cma.j.issn.2096-0263.2022.04.004
文献标志码:
A
摘要:
目的 探讨核磁共振联合多层螺旋CT对下肢隐匿性骨折的临床价值。方法 选取2016年10月至2018年10月本院接收的X检查为阴性且确诊为隐匿性骨折患者324例，对比核磁共振、多层螺旋CT、两者联合诊断三种方法对下肢隐匿性骨折的检出情况，观测诊断方法的影像图，评价诊断效能。结果 共纳入300例患者，均完成MRI检查和MSCT三维成像检查，MRI检出246处骨折，MSCT检出378处骨折，MRI联合MSCT检出402处骨折。三种诊断方法在8种类型骨折的诊断方面并不具备显著的统计学意义。衰竭骨折和疲劳骨折二者联合诊断的敏感度和准确率显著高于MSCT诊断相应值，且疲劳骨折MRI诊断的敏感度显著高于MSCT诊断相应值。隐性创伤骨折和隐性骨内骨折二者联合诊断的敏感度和准确率显著高于MSCT诊断相应值，隐性创伤骨折二者联合诊断的敏感度显著高于MRI诊断相应值。隐性骨内骨折MRI诊断的敏感度显著高于MSCT诊断相应值。结论 核磁共振联合多层螺旋CT对下肢隐匿性骨折具有更高的诊断效能，为后续治疗方案的制定提供参考意见。
Abstract:
Objective To investigate the clinical value of magnetic resonance imaging (MRI) combined with multi-slice spiral CT in the diagnosis of occult fracture of lower limbs. Methods From October 2016 to October 2018, 324 patients with X-ray examination negative and diagnosed as occult fracture in our hospital were selected. The detection of lower limb occult fracture by MRI, multi-slice spiral CT and their combined diagnosis methods were compared, and the image of diagnostic methods was observed to evaluate the diagnostic efficiency. Results All 300 patients completed MRI and MSCT three-dimensional imaging examination. 246 fractures were detected by MRI, 378 fractures by MSCT, and 402 fractures were detected by MRI combined with MSCT. The three diagnostic methods did not have significant statistical significance in the diagnosis of 8 types of fractures. The sensitivity and accuracy of combined diagnosis of failure fracture and fatigue fracture were significantly higher than that of MSCT, and the sensitivity of MRI diagnosis of fatigue fracture was significantly higher than that of MSCT. The sensitivity and accuracy of combined diagnosis of recessive traumatic fracture and recessive intraosseous fracture were significantly higher than those of MSCT, and the sensitivity of combined diagnosis of recessive traumatic fracture was significantly higher than that of MRI. The sensitivity of MRI was significantly higher than that of MSCT. Conclusion MRI combined with multi-slice spiral CT has a higher diagnostic efficiency for the occult fracture of lower limbs, which can provide reference for the formulation of follow-up treatment plan.

相似文献/References:

[1]张欲翔,卢军丽,赵建,等.成人坐骨股骨撞击综合征MRI表现与疼痛症状的相关性研究[J].中华老年骨科与康复电子杂志,2019,(06):322.[doi:10.3877/cma.j.issn.2096-0263.2019.06.004]
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备注/Memo

备注/Memo:
基金项目：湖北省卫生健康委员会科研项目（WJ2019M050）
更新日期/Last Update: 2022-09-29