摘要
目的 :研究胸膜外血肿对肋骨骨折的诊断意义。方法 :①随机抽取肋骨骨折正位胸片 2 0 0例 ,其中 62例加摄常规斜位片或切线位点片 ,寻找骨折处有无胸膜外血肿存在及其厚度与形态 ,并与 2 0 0例非外伤胸片对照 ;② 62例斜位片或点片中寻找因肋骨骨折引起的胸膜外血肿 ;③对有可疑胸膜外血肿而骨折征象不明显的患者加摄斜位片或切线位点片或随访复查 ,了解有无骨折 ;④观察胸膜外血肿与血胸的对应关系。结果 :① 2 0 0例正位片中有肋弓部骨折 88例 ,见胸膜外血肿 82例 ,占 93 % ;平均厚度 ( 7.70± 5 .46)mm ,其胸膜增厚的发生率及厚度与对照组之间差异有显著性意义 (P≤ 0 .0 1) ;② 62例斜位片中有肋骨骨折 2 9例 ,胸膜外血肿 2 4例 ,占 83 % ,平均厚度 ( 6.0± 3 .77)mm ,与正位片之间差异无统计学显著意义 (P >0 .0 5 ) ;③ 2 2例正位片有胸膜外血肿而骨折征象不明显者 ,17例加摄斜位片、5例复查正位片均发现骨折 ;④ 43例急性血胸中 ,2 7例可见胸膜外血肿 ,占 63 % ,2 1例迟发血胸者 ,16例首次胸片可见胸膜外血肿 ,占76%。结论
Objective:To study the value of detecting the extrapleural hematoma in the evaluation of rib fracture and hemothorax. Methods:①200 frontal chest films of the rib fractures were randomly collected (from which 62 cases were also taken oblique views or spot films)to look for extrapleural hematoma and watch to see it's thickness and shape,and compared with 200 cases of non trauma cases;②extrapleural hematoma due to fracture of rib was looked for on 62 oblique films;③if rib fracture was not evidnt on frontal films,obliique films or tangential opot films were taken to find out fracture of rib;④the correlation between exrtrapleural hematoma and hemothorax was sudied.Results:①In 88 cases of fractues of the rib arches on 200 frontal films,82 cases of extrapleural hematoma were seen(93%),and the average thickness of the pleura was 7.70±5.46 mm,and there was a significant difference compared to the controll group ( P <0.01);②29 cases of fractures of the anterior or posterior segment of ribs were seen on 62 oblique films,from which 24 cases of extrapleural hematoma were also found(83%),and the averaqge thickness of pleura was 6.0±3.77 mm,without significant difference to that on the frontal films ( P >0.05);③22 cases which reveal extrapleural hematoma but no well marked fracture on frontal films,were found fracturess by taking oblique films in 17 cases and follow up in 5 cases;④27 cases of extrapleural hematoma were seen in 43 cases of acute hemothorax(63%),and in 21 cases of late hemothorax,extrapleural hematoma was found on first time radiography of 16 cases(76%).Conclusion:Extrapleural hematoma is a common and important X ray indirect sign of rib fracture,and also is suggestive for hemothorax.
出处
《放射学实践》
2003年第3期185-187,共3页
Radiologic Practice
关键词
肋骨骨折
胸膜外血肿
血胸
X线
Rib fracture
Extrapleural hematoma
Hemothorax
Radiography
