摘要
目的探讨膝关节骨折及韧带损伤的急诊CT应用价值及检查方法,提高膝关节创伤CT诊断的准确性。方法回顾性分析54例膝关节创伤患者的CT检查征象,并与X线检查、临床及手术结果对照。结果54例患者共有83处骨折,CT发现膝关节骨折82处,假阴性1处;X线检查发现骨折58处。CT发现韧带损伤69处,假阴性5处;X线仅通过间接征象发现副韧带损伤17处。结论CT检查对膝关节骨折的诊断优于X线,CT对于韧带损伤特别是韧带的不完全损伤的诊断较X线更敏感,但诊断韧带完全撕裂时需结合临床及X线检查。
Objective We sought to evaluate the value of CT in trauma of knee and to find the proper examining ways to improve the diagnosis. Methods We analyzed retrospectively the records of 45 patients with knee trauma, and compare all the findings by CT with the clinical data and X - ray findings. Results There were totally 83 fracture sites in the 45 cases, and 82 fracture sites and 1 case of false negative fracture site and 69 ligaments damages were found by CT, while only 58 fracture sites and 17 ligaments damages were found by X - ray. Conclusion CT is more accurate in finding knee fractures and more sensitive in diagnosing ligaments damages than X - ray. But CT needs to be applied with clinical data and X - ray when assessing laceration of ligaments.
出处
《中国全科医学》
CAS
CSCD
2008年第2期107-110,共4页
Chinese General Practice
