摘要
目的研究CT联合MRI检查在腕关节损伤中的临床应用价值。方法回顾分析本院2017年3月至2019年7月收治的112例腕关节损伤患者的临床资料,所有患者均接受CT、MRI检查。对112患者所得图像进行分析,对比CT检查、MRI检查以及两者联合检查对患者腕关节损伤情况(腕关节骨折、腕关节脱位、隐匿性骨折、移位骨折片、软骨损伤、骨挫伤)检出率进行比较。结果CT+MRI对患者骨折、脱位、隐匿骨折、移位骨折、软骨损伤、骨挫伤片情况检出率明显高于CT和MRI单独检查(P<0.05);CT、MRI检查对患者骨折、脱位、隐匿骨折情况检出率比较差异无统计学意义(P>0.05)。MRI检查对软骨损伤、骨挫伤检查检出率高于CT检查(P<0.05),在移位骨折片检出率上低于CT检查(P<0.05)。结论CT和MRI检查在腕关节损伤诊断中各有其优缺点,联合检查可提高检出诊率,并可为临床提供更全面的信息,值得临床广泛应用。
Objective To study the clinical application value of CT combined with MRI in wrist injury.Methods The clinical data of 112 patients with wrist injury who were admitted to our hospital from March 2017 to July 2019 were retrospectively analyzed.All patients underwent CT and MRI.The images obtained from 112 patients were analyzed.The detection rates of CT examination,MRI examination and combined examination for wrist injury(wrist fracture,wrist dislocation,occult fracture,displaced fracture film,cartilage injury,bone contusion)were compared.Results The detection rate of CT+MRI for fracture,dislocation,occult fracture,displaced fracture,cartilage injury and bone contusion was significantly higher than that of CT and MRI alone(P<0.05).There was no significant difference in the detection rate of fracture,dislocation and occult fracture between CT and MRI(P>0.05).The detection rate of CT for cartilage injury and bone contusion was higher than that of MRI(P<0.05),and the detection rate for displaced fracture film was lower than that of CT(P<0.05).Conclusion CT and MRI have their own advantages and disadvantages in the diagnosis of wrist injury.Combined examination can improve the detection rate and provide more comprehensive information in clinic.It is worthy of clinical application.
作者
尹明明
刘铭
YIN Ming-ming;LIU Ming(Department of Hand,Foot,and Microsurgery,Ankang People's Hospital,Ankang 725000,shaanxi Province,China;First Department of Orthopaedics,Ankang Central Hospital,Ankang 725000,shaanxi 725000 Province,China)
出处
《中国CT和MRI杂志》
2022年第1期183-185,共3页
Chinese Journal of CT and MRI
