立位数字化X线摄影检查对膝关节外伤的诊断价值

发布时间：2018-05-01 02:16

本文选题：立位数字化X线摄影检查 + 膝关节外伤　；参考：《双足与保健》2017年08期

【摘要】：目的立位数字化X线摄影检查对膝关节外伤的诊断价值。方法将该院2015年10月—2017年2月所收治的69例膝关节外伤患者作为研究对象,对患者进行站立位膝关节正侧位DR摄片以及横断位CT平扫检查,将CT诊断结果作为金标准,对两种诊断方式诊断价值进行对比和分析。结果在该研究69例患者中,单侧膝关节CT平扫检查结果则显示出有44例膝关节囊内骨折,以CT检查结果作为金标准的话,立位DR检查诊断膝关节囊内骨折的灵敏度为90.91(40/44),特异度则为100.00%(25/25),准确率为94.20%(65/69)。CT平扫检查结果则显示出有37例膝关节腔内积脂血症,以CT检查结果作为金标准的话,立位DR检查诊膝关节腔内积脂血症的灵敏度为64.86%(24/37),特异度则为65.63%(21/32),准确率为65.22%(45/69)。结论立位数字化X线摄影检查对膝关节外伤有着较为显著的诊断价值,值得推广使用。
[Abstract]:Objective to evaluate the diagnostic value of orthostatic digital radiography in knee joint trauma. Methods 69 patients with knee joint trauma admitted in our hospital from October 2015 to February 2017 were studied. Dr radiographs and CT plain CT scans were performed in the standing position of the knee joint and the transverse position of the knee joint. The diagnostic results of CT were taken as the golden standard. The diagnostic value of the two diagnostic methods was compared and analyzed. Results in 69 cases of this study, plain CT scan of unilateral knee joint showed 44 cases of intra capsular fracture of knee joint. The results of CT examination were taken as gold standard. The sensitivity of Dr in diagnosis of intracapsular fracture of knee joint was 90.91 / 40 / 44, the specificity was 100.0010 / 25 / 25, and the accuracy of 94.20%(65/69).CT plain scan showed that there were 37 cases of intracavitary lipidemia of knee joint. The result of CT was taken as the gold standard. The sensitivity of Dr was 64.86 / 37, the specificity was 65.63 / 32 / 32, and the accuracy was 65.2225 / 69. Conclusion the digital X-ray examination in orthostatic position is valuable in the diagnosis of knee joint trauma and is worth popularizing.
【作者单位】：新汶矿业集团莱芜中心医院影像科;
【分类号】：R684;R816.8

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