X线平片及MSCT三维重组技术对跟骨骨折的临床应用价值分析

目的探讨X线平片及MSCT三维重组技术对跟骨骨折的临床应用价值。方法回顾性分析我院2017年1月至2019年5月在本院骨科进行治疗的58例跟骨骨折患者。所有患者都经过X线检查和MSCT检查,对58例跟骨骨折患者的骨折程度、位移状况、关节受累情况进行逐一记录,比较X线检查和MSCT检查对其的诊断结果。结果 X线检查对58例骨折患者的骨折线、单线骨折、粉碎性骨折、位移骨折、关节受累的检出率分别为72.41%、45.45%、83.33%、47.50%、34.28%,MSCT三维重建的检出率均为100%,明显高于X线平片检查(P<0.05)。结论 X线平片检查在对跟骨骨折诊断中有一定参考价值,但对骨折碎片、位移情况以及一些细微骨折难以发觉,会出现误诊和漏诊的现象。而MSCT三维重组技术,对骨折碎片、位移情况以及一些细微骨折都可以做出正确判断,可为临床治疗提供可靠的影像学资料。

Analysis on Alinical Application Value of X-ray Film and MSCT Three-dimensional Reconstruction Technology for Calcaneal Fracture

Objective To explore the clinical application value of X-ray film and MSCT three-dimensional reconstruction technology for calcaneal fracture.Methods 58 patients with calcaneal fractures treated in our department from January 2017 to May 2019 were retrospectively analyzed.All patients underwent X-ray examination and MSCT examination.The fracture degree,displa cement status,and joint involvement of 58 patients with calcaneal fracture were recorded one by one,and the results of X-ray examination and MSCT examination were compared.Results The detection rate of X-ray examination for fracture line,single line fractu re,comminuted fractu re,displacement fractu re,and joint involvement in 58 fracture patients was 72.41%,45.45%,83.33%,47.50%,and 34.28%,respectively.The detection rate of MSCT three-dimensional reconstruction was 100%,significantly higher than that of X-ray plain film(P<0.05).Conclusion X-ray examination has certain reference value in the diagnosis of calcaneal fractures.It is difficult to detect fracture fragments,displacement and some minor fractures,misdiagnosis,and missed diagnosis may occur.MSCT three-dimensional recombination technology can make correct judgments on fracture fragments,displacement,and some minor fractu res,and provide reliable imaging data for clinical treatment.