摘要
目的对比数字X线摄影术(Digit Radiography,DR)与计算机X线断层摄影机(CT)检查对脊柱爆裂型骨折的诊断效能。方法纳入120例脊柱骨折患者,诊治时间为2018年1月至2022年3月,所用患者均行DR与CT检查,对比不同类型脊柱骨折的检出率,并对两种方式对脊柱爆裂型骨折的诊断效能进行对比。结果两种方式对压缩型骨折和chance骨折的检出率比较,无统计学差异(P>0.05),CT检查对脊柱爆裂型骨折的检出率为95.00%,总检出率为95.83%,高于DR的77.50%和80.83%;CT诊断脊柱爆裂型骨折的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为95.00%、96.25%、95.83%、92.68%和97.47%,高于DR检查的77.50%、82.50%、80.93%、62.89%和88.00%,数据对比有差异(P<0.05)。结论与DR比较,CT诊断脊柱爆裂型骨折敏感性高,特异性强,有广泛应用价值。
Objective To compare the diagnostic performance of digital radiography(DR)and computerized tomography(CT)in the diagnosis of spinal burst fractures.Methods A total of 120 patients with spinal fractures were included.The diagnosis and treatment time was from January 2018 to March 2022.All patients underwent DR and CT examinations.The detection rates of different types of spinal fractures were compared.The diagnostic performance was compared.Results There was no significant difference in the detection rates of compression fractures and chance fractures between the two methods(P>0.05).higher than 77.50%and 80.83%of DR;the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of CT in the diagnosis of spinal burst fractures were 95.00%,96.25%,95.83%,92.68%and 97.47%,respectively.It was higher than 77.50%,82.50%,80.93%,62.89%and 88.00%of DR examination,and there were differences in data comparison(P<0.05).Conclusion Compared with DR,CT has high sensitivity and specificity in the diagnosis of spinal burst fractures,and has a wide application value.
作者
张永
ZHANG Yong(Department of Imaging,The Third Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第12期85-87,共3页
Journal of Rare and Uncommon Diseases
