肋软骨骨折诊断方法的临床研究 |
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引用本文: | 何东权,张绍义,孙兴龙,罗会兰,殷君太,万志渝,武韬. 肋软骨骨折诊断方法的临床研究[J]. 中国临床实用医学, 2010, 4(10): 102-103 |
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作者姓名: | 何东权 张绍义 孙兴龙 罗会兰 殷君太 万志渝 武韬 |
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作者单位: | [1]四川省广元市中心医院胸心外科,628000 [2]四川省广元市中心医院放射科,628000 [3]四川省广元市中心医院超声科,628000 |
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摘 要: | 目的探讨肋软骨骨折的临床诊断方法。方法对5l例胸部外伤临床拟诊肋软骨骨折患者同时行X-ray胸片检查;MSCT(multistoryspiralCT,MSCT)容积扫描和图像后处理,进行VR(volumerendering,VR)、MIP(maximumintensityprojection,MIP)、MPR(multi.planarreformation,MPR)三维重建及CPR(curedplanarreformation,CPR)曲面重建;高频超声检查;并对肋软骨骨折在三种检查方法中的检出率用Fisher确切概率法检验。结果X.ray胸片未发现1例肋软骨骨折;MSCT三维重建发现8例,25处肋软骨骨折;高频超声发现5例,17处肋软骨骨折;MSCT三维重建肋软骨骨折检出率高于高频超声检查和胸片检查,P〈0.05。结论MSCT三维重建是诊断肋软骨骨折的首选方法。
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关 键 词: | 肋软骨骨折 诊断 方法 |
The Clinical Study of Diagnostic Method of Costobrachial Fracture |
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Affiliation: | HE Dong-quan, ZHANG Shao-yi, SUN Xing-long, et al(Department of Cardiothoracic Surgery, the Central Hospital of Guangyuan City. Sichuan 628000, China ) |
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Abstract: | Objective To investigate the diagnostic method of costobrachial fracture.Methods 51 cases with doubtful costobrachial fracture in thoracic injury were photographed with DR in norrnotopia and solidus;scanned with MSCT and used VR,MIP,MPR,as well as CPR; They were inspected with high-frequency ultrasound; all data were statistical treated with SPSS 11.5.Results No case with costobrachial fracture was found in sternum inspection; 8 cases with 25 places costobrachial fracture were diagnosed in MSCT inspection; 5 cases with 17 places costobrachial fracture were diagnosed in high-frequency inspection.Conclusion MSCT three-dimensional reconstruction is the best method of diagnosis costobrachial fracture. |
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