摘要
目的研究放射学检查用于桡骨远端关节内骨折伴腕关节不稳定的诊断价值。方法选择义乌市中心医院2017年7月至2018年6月诊治的桡骨远端关节内骨折伴腕关节不稳定患者72例,采用随机数字表法分为两组,对照组36例采用X线检查,观察组36例采用X线联合CT检查。比较两组诊断结果、临床治疗情况。结果观察组桡骨缩短(58.33%)、尺偏角改变(86.11%)、背侧关节面压缩塌缩(83.33%)、关节面分离(77. 78%)、关节面骨块在3块以上(63.89%)、骨折伴有下尺桡半脱位(69. 44%)的检出率均高于对照组(33.33%、58.33%,61.11%,52.78%,41.67%,44.44%),均差异有统计学意义(X^2=4.532、6.923、4.431、4.963 4.531 .4.589,均P <0.05);观察组1个月痊愈率(88.89%)、2个月痊愈率(94.44%)均高于对照组的69.44%、77.78%,均差异有统计学意义(x^2=4.126,4.181,均P <0.05)。结论 X线联合CT检查用于桡骨远端关节内骨折伴腕关节不稳定的诊断,具有较高的诊断准确率,可为临床治疗方案的制定提供有价值的参考依据。
Objective To study the clinical value of radiographic diagnosis of intra - articular fractures of distal radius with instability of wrist joint.Methods From July 2017 to June 2018 ,72 patients with intra - articular fracture of distal radius with wrist instability in Yiwu Central Hospital were divided into two groups according to random digital table, with 36 patients in each group.The control group was examined by X - ray.The observation group was diagnosed by X - ray and CT.The results of diagnosis and treatment of intra - articular fracture of distal radius with wrist instability were compared between the two groups.Results In the observation group, the detection rates of the radius shortened(58.33%),the ulnar angle changed(86.11%),the dorsal articular surface compressed and collapsed(83.33%), the articular surface separated(77.78%), the bone mass of the articular surface more than 3 (63.89%), fracture with ulnar subluxation (69.44%) were higher than those of the control group ( 33.33%, 5& 33%,61.11 %,52.78%,41.67%,44.44%), the differences were statistically significant (X^2= 4.532,6.923 , 4.431,4.963 ,4.531,4.589, all P < 0.05 ).The 1 - month recovery rate (88.89%) and 2 - month recovery rate (94.44%) in the observation group were higher than those in the control group(69.44%,77.78%),the differences were statistically significant(X^2=4.126,4.181 ,all P <0.05).Conclusion The combined use of X - ray and CT in the diagnosis of intraarticular fracture of distal radius with instability of wrist joint has a higher diagnostic accuracy and can provide valuable reference for clinical treatment.
作者
傅宁
Fu Ning(Department of Radiology, Yiwu Central Hospital, Yiwu, Zhejiang 322000, China)
出处
《中国基层医药》
CAS
2019年第13期1549-1552,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省科技计划项目(2013C33216).
关键词
桡骨骨折
关节内骨折
腕关节
桡骨
关节挛缩
脱位
放射摄影术
体层摄影术
X线计算机
Radius fractures
Intra-articular fractures
Wrist joint
Radius
Arthrogryposis
Dislocations
Radiography
Tomography, X-ray computed
