摘要
目的探讨多角度Broden位投照法在跟骨骨折诊断中的价值。方法选取经手术或CT证实的56例共88足跟骨骨折患者作为研究对象,每足均行跟骨侧位、轴位及Broden位摄片。比较跟骨侧轴位、Broden位及联合应用三种体位摄片对跟骨骨折的检出率。结果跟骨侧轴位、Broden位及联合应用三种体位摄片分别检出跟骨骨折69、83及85例,检出率分别为78.41%、94.32%及96.59%。其中Broden位、侧位+轴位+Broden位对跟骨骨折的检出率均显著高于侧位+轴位(χ2=9.456,P<0.01;χ2=13.299,P<0.01),而Broden位与侧位+轴位+Broden位之间差异无显著统计学意义(χ2=0.131,P>0.05)。结论Broden位检出率明显高于跟骨侧、轴位,配合跟骨侧、轴位可以明显减少漏诊率。
Objective To explore the application value of Broden view of radiography in the diagnosis of the fracture of calcaneus. Methods Selected 56 patients total 88 feet to be research object who were fractured of calcaneus,which has been confirmed by operation and CT. Radiographic examination with lateral view, axial view and Broden view of calcaneus were done in 88 feet of 56 patients. The detection rate of the facture of calcaneus was respectively calculated and compared with each other between the conjunct application of lateral and axial view, Broden view and the conjunct application of all views. Result s In all cases, there are 69,80,and 84 cases have been detected by lateral and axial view, Broden view and thee conjunct application of all views, the detection rate is 78.41% ,94.32% and 96. 59% ,respectively. Among the total detection rates of fracture of calcaneus the Broden view and the conjunct application of all views were all higher obviously than the lateral view ＋axial viex（χ^2 = 9. 456,P 〈 0. 01 ; χ^2=13. 299, P 〈 0. 01 ） but the differences between the Broden view and the conjunct application of all views has not statistically significance（χ^2 =0. 131 ,P 〉0.05）. Conclusion The detection rate of Broden view are higher than lateral and axial view obviously in fracture of calcaneus,it can reduce rate of missed diagnosis with lateral and axial view together.
出处
《中国现代药物应用》
2008年第8期27-28,共2页
Chinese Journal of Modern Drug Application
