MSCT对老年桡骨远端骨折诊断分型的应用价值

doi:10.12117/jccmi.2019.02.015

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Abstract Objective: To investigate the application value of MSCT in the classification of distal radius fracture in elder patients after comparison with X-ray. Methods: Ninety-six elderly patients with distal radius fractures were retrospectively enrolled with 34 males and 62 females, aged from 60 to 86 years((67.4±7.6) years in average). All cases performed X-ray and CT examination before any therapy. Detection results of different types of fractures were compared between the X-ray and MSCT scans and its image reconstruction, referring to the classification of AO/ASIF(Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation). Results: Among the 96 cases, 88 cases(91.67%) were diagnosed as fractures by X-ray and 8 cases were misdiagnosed. Patients with type A, B and C fractures were 45 cases(46.88%), 9 cases(9.38%) and 34 cases(35.42%) respectively. Ninety-six cases with fractures were diagnosed by MSCT and patients with type A, B and C fractures were 11 cases(11.45%), 10 cases(10.42%) and 75 cases(78.13%) respectively. There were statistical difference between the two technologies in evaluating the classification of distal radius fracture(χ2=35.02, P＜0.01), with less consistency(Kappa=0.242, P＜0.01). Conclusion: MSCT is more detailed and accurate for differential diagnosis and classification of elderly distal radius fractures, especially for complex intra-articular fracture, compared with conventional X-ray.

Key words： Radius fractures Tomography, spiral computed Radiography

Received: 15 March 2018

PACS:	Ｒ683.41
	Ｒ814.42
	Ｒ814.41

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	Articles by authors
	JIANG Hong-ning1
	SHEN Wen-ting2

Cite this article:

JIANG Hong-ning1,SHEN Wen-ting2. The application value of MSCT in classifying distal radius fracture in elderly patients[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(2): 135-138.

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http://www.jccmi.com.cn/EN/10.12117/jccmi.2019.02.015 OR http://www.jccmi.com.cn/EN/Y2019/V30/I2/135

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