摘要
目的探讨多层螺旋CT在诊断隐匿性骨盆后环损伤中的价值。方法回顾性分析本院2010年11月～2012年12月确诊的隐匿性骨盆后环损伤患者37例的临床资料,患者均行X线检查和多层螺旋CT检查。结果多层螺旋CT诊断骶骨骨折、单纯骶髂骨关节脱位、髂骨翼后部骨折、骶髂关节骨折脱位损伤的准确率均显著高于X线检查,差异均有统计学意义(P<0.05)。X线检查漏诊患者中,多层螺旋CT检查确诊骶骨边缘压缩骨折1例、骶骨横行骨折3例、骶髂骨关节前后韧带损伤2例、骶髂骨关节前后脱位2例、髂骨翼后部纵行骨折3例、骶骨侧骨折1例、骶髂关节骨折髂骨侧骨折3例。结论多层螺旋CT在隐匿性骨盆后环损伤诊断中具有重要的临床价值,可显著提高诊断准确率。
Objective To investigate value of multi-slice spiral CT in diagnosis of occult posterior pelvic ring injury. Methods Clinical data of 37 patients with occult posterior pelvic ring injury in our hospital from November 2010 to December 2012 were retrospectively analyzed. Patients were all given X-ray examination and multi-slice spiral CT examination. Results The accuracy rates of diagnosis of multi-slice spiral CT in sacral fracture, simple sacral iliac dislocation, iliac wing fracture, dislocation of sacroiliac joint fracture were significantly higher than X-ray examination, the difference was statistically significant （P＆lt;0.05）. In X-ray diagnosis of patients, multi-slice spiral CT examination confirmed sacrum edge compression fracture of 1 case, transverse sacral fracture of 3 cases, sacroiliac joint ligament injury of 2 cases, sacroiliac joint dislocation of 2 cases, iliac wing rear longitudinal fracture of 3 cases, lateral sacral fracture of 1 case, iliac side of sacroiliac joint fracture of 3 cases. Conclusion Multi-slice spiral CT has important clinical value in diagnosis of occult posterior pelvic ring injury, which can significantly improve the accuracy rate of diagnosis.
出处
《中国当代医药》
2013年第21期113-114,共2页
China Modern Medicine
关键词
多层螺旋CT
诊断
隐匿性骨盆后环损伤
Multi-slice spiral CT
Diagnosis
Occult posterior pelvic ring injury
