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| 高频超声与CT诊断鼻骨骨折的应用价值比较 |
| 张红,付浩△ |
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| (710054 西安市,西安交通大学医学院附属红会医院超声室张红,任燎原,冯海洋,严婷,CT室刘正华,耳鼻喉头颈外科谭聪明,西安市户县大王姚百平中医医院放射科付浩) |
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| 摘要: |
| 目的 比较高频超声与CT诊断鼻骨骨折的临床价值。方法 回顾性分析经手术确诊的186例鼻骨骨折患者的术前高频超声和CT检查资料，比较两种检查方法对鼻骨骨折的总体检出率及不同类型骨折检出阳性率。结果 高频超声和CT对鼻骨骨折的总体检出率分别为（91.4%、94.6%），差异无统计学意义。高频超声对单纯线性骨折的检出阳性率（55.4%）高于CT（48.9%），差异有统计学意义（P＜0.05）；对粉碎性骨折的检出阳性率高频超声（29.6%）与CT相近（27.9%），差异无统计学意义；对复合性骨折检出阳性率高频超声（6.5%）低于CT（17.7%），差异有统计学意义（P＜0.05）。结论 高频超声安全、价廉、便捷，可作为鼻骨骨折影像学检查的一项重要补充，值得临床推广应用。 |
| 关键词: 高频超声 CT 鼻骨骨折 |
| DOI： |
| 投稿时间：2018-10-17修订日期：2019-06-08 |
| 基金项目: |
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| A comparative research of application value of high-frequency ultrasound and CT scanning in nasal bone fracture diagnosis |
| ZHANG Hong,FU Hao |
| (Department of Ultrasound,Hong-Hui Hospital,Xi’an Jiaotong University College of Medicine,Xi’an) |
| Abstract: |
| Objective The research aimed to compare the clinical value of high-frequency ultrasound with CT scanning in the diagnosis of nasal bone fracture.
Methods The preoperative high-frequency ultrasound and CT scanning data of totally 186 nasal bone fracture patients were retrospectively and analysed. The overall detection rate and the positive rate of different types of fractures were compared.
Results The overall detection rates of nasal bone fracture by high frequency ultrasound and CT were 91.4% and 94.6%, respectively, with no significant difference. The positive rate of high frequency ultrasound in detecting simple linear fracture (55.4%) was higher than that of CT (48.9%) with statistical significance (P < 0.05); the positive rate of high frequency ultrasound in detecting comminuted fracture (29.6%) was similar to that of CT (27.9%), with no statistical significance. The positive rate of high frequency ultrasonography (6.5%) for complex fracture was lower than that of CT (17.7%), the difference was statistically significant (P < 0.05). Conclusion High-frequency ultrasound is safe, inexpensive and convenient, which can be used as an important supplement to the imaging examination of nasal bone fracture and is worthy of clinical application. |
| Key words: high-frequency ultrasound CT scanning nasal bone fracture |
