摘要
目的对比评价X线与CT诊断在膝关节损伤中的价值。方法选取2016年7月~2017年7月广东省佛山市中医院禅城高新区医院和广东省佛山市顺德区乐从医院收治的膝关节损伤患者100例,对所有患者均先后行X线诊断、CT诊断,以手术结果作为诊断标准。比较组间诊断的损伤类型(韧带损伤、半月板损伤、胫骨平台骨折)检出率和骨折塌陷、劈裂距离。结果 CT诊断与手术结果之间的损伤类型(韧带损伤、半月板损伤、胫骨平台骨折)检出率差异无统计学意义(P>0.05);且CT诊断在骨折塌陷、劈裂距离方面所得结果更接近于手术结果,差异无统计学意义(P>0.05)。X线诊断与手术结果之间的损伤类型(韧带损伤、半月板损伤、胫骨平台骨折)检出率的比较,差异有统计学意义(P<0.05);且X线诊断在骨折塌陷、劈裂距离方面所得结果与手术结果之间的比较,差异有统计学意义(P<0.05)。X线诊断检出率[90.00%(90/100)]低于CT诊断检出率[99.00%(99/100)],差异有统计学意义(P<0.05)。结论对膝关节损伤患者实施CT诊断的应用价值更为显著,能够有效且准确地反映膝关节受损情况。
Objective To compared and evaluate the value of X-ray and CT diagnosis in knee joint injury.Methods From July 2016 to July 2017,100 patients with knee joint injury were selected in Chancheng Hi-tech Zone Hospitaland Lecong Hospital,Shunde District,Foshan City,Guangdong Province,hospital,all patients were diagnosed by X-ray and CT,and the surgical results were taken as diagnostic criteria. The detection rate,fracture collapse and splitting distance of the types of injury（ligament injury,meniscal injury and tibial plateau fracture） diagnosed between the two groups were compared.Results There was no significant difference between CT diagnosis and surgical results（P〈0.05）. And CT diagnosis in fracture collapse,splitting distance results were more close to the surgical results,the difference was not statistically significant（P〈0.05）.X-ray diagnosis and surgical results between the types of injury（ligament injury,meniscal injury,tibial plateau fracture） detection rate comparison,the difference was statistically significant（P〉0.05）;X-ray diagnosis in fracture collapse,splitting distance between the results and surgical results,the difference was statistically significant（P〈0.05）.The detection rate of X-ray diagnosis was 90.00 %（90/100） which was lower than that of CT diagnosis [99.00%（99/100）],the difference was statistically significant（P〈0.05）.Conclusion For knee injury patients,the application value of CT diagnosis is more remarkable compared with that by X-ray,and the former can effectively and accurately reflect the knee joint injury.
作者
朱小成
何美香
ZHU Xiao-cheng;HE Mei-xiang(Department of Radiology,Chancheng Hi-tech Zone Hospital,Foshan City,Guangdong Province,Foshan 528300,China;B-Ultrasound Room,Lecong Hospital,Shunde District,Foshan City,Guangdong Province,Foshan 528315,China)
出处
《中国当代医药》
2018年第12期85-87,共3页
China Modern Medicine
关键词
X线
CT诊断
膝关节损伤
价值对比
X-ray
CT diagnosis
Knee joint injury
Value comparison
