Head and Neck Imaging
Comparison of Diagnostic Value of X-Ray Radiography and MSCT for Tibial Plateau Fracture*
Author：HUANG Jing-yu
affiliation：Department of Radiology, Liaocheng Traditional Chinese Medicine Hospital, Liaocheng 252000, Shandong Province, China
PDFAbstract
Objective To evaluate the clinical application value of X-ray plain film and multi-slice spiral CT (MSCT) in the imaging diagnosis of tibial plateau fracture. Methods The imaging data of 67 patients with tibial plateau fracture treated in our hospital from May 2016 to July 2018 were collected. All patients were examined by X-ray plain film and MSCT scan, and the diagnostic value of the two methods were compared. Results The detection rate of tibial plateau fracture was 64.18% (43/67), 97.01% (65/67) was detected by MSCT scanning, and the detection rate of tibial plateau fracture by MSCT scanning was higher than that by X-ray scanning, with statistically significant difference (χ2 =70.631, P<0.05). In all the patients with tibial plateau fracture, asymmetric widening of the lateral gap of the knee joint, suprapatellar sac effusion, tibial plateau collapse and other typical symptoms, as well as local tenderness and swelling of the soft tissue outside the tibial plateau could be seen. Conclusion MSCT has a higher detection rate of tibial plateau fracture than X-ray plain film, and can be used as a supplementary examination method, so as to provide more imaging data for clinical practice and improve the accuracy of clinical diagnosis of tibial plateau fracture.
【Keyword】MSCT; X-ray; Occult Fracture; Tibial Plateau Fracture; Diagnostic Value
【Chart number】R445.1
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2019.06.044
Chinese journal of CT and MRI
th17Volume， th 6 Issue
2019Year06Month
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