踝关节侧位X线片对下胫腓联合复位不良的评价分析

发布时间：2018-04-23 00:25

本文选题：踝关节骨折 + 下胫腓联合损伤　；参考：《重庆医学》2017年20期

【摘要】：目的探讨踝关节侧位X线片在评估下胫腓联合复位中的作用。方法回顾性分析该院2013年1月至2015年5月37例踝关节骨折合并下胫腓联合损伤的患者资料。所有病例术前及术后均拍摄X线片,包括踝关节正位、侧位及踝穴位,通过观察下胫腓联合间隙(TFCS)、下胫腓联合重叠(TFO)、踝关节内侧间隙、踝关节侧位穹窿间隙来判断复位情况,以CT扫描为参考标准,观察X线片判断下胫腓联合复位的有效性。结果通过踝关节正位及踝穴位X线片患者诊断的敏感性为64.7%,特异性为90.0%,准确性为78.4%。通过踝关节侧位X线片患者诊断的敏感性为58.8%,特异性为95.0%,准确性为78.4%。通过踝关节正位、踝穴位联合侧位X线片患者诊断敏感性为82.4%,特异性为85.0%,准确性为83.8%。结论通过观察踝关节侧位X线片穹窿间隙,有助于提高下胫腓联合复位质量。
[Abstract]:Objective to evaluate the role of lateral ankle radiographs in the evaluation of inferior tibiofibular joint reduction. Methods from January 2013 to May 2015, 37 patients with ankle fracture complicated with injury of lower tibiofibular syndesmosis were retrospectively analyzed. X-ray films were taken before and after operation, including ankle position, lateral position and ankle acupoint. The reduction was judged by observing the inferior tibiofibular syndesmosis space (TFCSA), the inferior tibiofibular syndesmosis overlap (TFOO), the medial ankle joint space and the ankle lateral fornix space. Using CT scan as reference standard, the effectiveness of X-ray film in evaluating the reduction of inferior tibiofibular joint was observed. Results the sensitivity, specificity and accuracy were 64.7, 90.0and 78.4 respectively. The sensitivity, specificity and accuracy of the diagnosis were 58.8%, 95.0 and 78.4% respectively. The diagnostic sensitivity, specificity and accuracy of X-ray film were 82.4, 85.0and 83.8respectively. Conclusion it is helpful to improve the reduction quality of inferior tibiofibular joint by observing the space of fornix in lateral position of ankle joint.
【作者单位】：承德医学院附属医院创伤骨科;
【分类号】：R687.3;R816.8

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