CT检查对股骨颈骨折的诊断以及治疗运用探究 |
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引用本文: | 高峰,张炯华,陶波,姚伟根,任应清.CT检查对股骨颈骨折的诊断以及治疗运用探究[J].中国现代医生,2013,51(2):93-94,97,F0003. |
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作者姓名: | 高峰 张炯华 陶波 姚伟根 任应清 |
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作者单位: | 高峰 (浙江省余姚市人民医院骨一病区,浙江余姚,315400); 张炯华 (浙江省余姚市人民医院骨一病区,浙江余姚,315400); 陶波 (浙江省余姚市人民医院骨一病区,浙江余姚,315400); 姚伟根 (浙江省余姚市人民医院放射科,浙江余姚,315400); 任应清 (浙江省余姚市人民医院骨一病区,浙江余姚,315400); |
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基金项目: | 浙江省医药卫生一般研究计划(项目编号:2012KYA173) |
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摘 要: | 目的探讨CT在股骨颈骨折的诊断以及治疗中的运用。方法对我院2008年1月~2012年7月收治的股骨颈骨折患者283例均进行术前X线检查以及CT检查。并进行三维重建。比较两种方法Garden分型以及解剖分型分析。结果x线片对股骨颈骨折的分型,按照解剖分型其一致率为53.36%,Garden分型一致率为57.60%。而CT检查其分型为97.88%、98.94%,两种检查方法比较差异具有统计学意义(P〈0.05)。X线片中有32例患者发现骨折端有碎骨片,CT检查中,有138例患者显示有碎骨片,两种方法比较差异具有统计学意义(P〈0.05)。结论CT检查对股骨颈骨折的诊断以及治疗具有指导意义,值得在临床中推广。
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关 键 词: | CT 股骨颈骨折 分型 诊断 |
CT examination of the diagnosis and treatment of femoral neck fracture using inquiry |
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Authors: | GAO Feng ZHANG Jionghua TAO Bo YAO Weigen REN Yingqing |
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Institution: | 1.The 1st Orthopedic Department of the People's Hospital of Yuyao in Zhejiang Province, Yuyao 315'00, China; 2.Radiology Department of the People's Hospital of Yuyao in Zhejiang Province, Yuyao 315400, China |
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Abstract: | Objective To investigate the CT in the diagnosis and treatment of femoral neck fractures use. Methods A total of 283 cases of femoral neck fracture patients admitted in our hospital from January 2008 to July 2012, preoper- ative X-ray examination, CT scan and three-dimensional reconstruction. Compared the two methods and analysed the Garden classification as well as anatomical type. Results X-ray of femoral neck fracture parting, according to the anatomical site genotyping concordance rate was 53.36%, Garden genotyping concordance rate was 57.60%. CT exam- ination distribution were 97.88%, 98.94%, two methods had statistical significance (P 〈 0.05). 32 patients were found to fracture a bone chips X-ray film and CT examination, 138 patients showed fracture bone fragments, the two meth- ods had statistical significance (P 〈 0.05). Conclusion CT diagnosis and treatment of femoral neck fracture has guiding significance worthy of promotion in the clinical. |
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Keywords: | CT Femoral neck fracture Classification Diagnosis |
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