Clinical application of high-frequency ultrasound in the diagnosis of emergency rib and costal cartilage fractures(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第1期
- Page:
- 106-109
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Clinical application of high-frequency ultrasound in the diagnosis of emergency rib and costal cartilage fractures
- Author(s):
- HUANG Li1; 2; GAO Feng1; LUO Qinghua2
- 1. the Third Xiangya Hospital of Central South University, Changsha 410013, China; 2. Liuyang Municipal Hospital of TCM, Liuyang 410300, China
- Keywords:
- ; Keywords: high-frequency ultrasound; X-ray; rib fracture; costal cartilage fracture; degree of displacement
- PACS:
- R445；R638.1
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.01.019
- Abstract:
- Abstract: Objective To study the application of high-frequency ultrasound in the diagnosis of emergency rib and costal cartilage fractures, and provide the data basis for its clinical application. Methods Ninety cases of rib or costal cartilage fractures in the Third Xiangya Hospital of Central South University were retrospectively analyzed. High-frequency ultrasound and X-ray examination were used to detect the rib or costal cartilage fractures with different injuries and different degrees of bone displacement. The detection rates of high-frequency ultrasound and X-ray examination were compared and the pros and cons of the two methods were analyzed for summarizing the diagnostic values and advantages of high-frequency ultrasound in the diagnosis of the fractures of costal cartilage and emergency rib. Results The detection rate of rib and costal cartilage fractures with high-frequency ultrasound was significantly higher than that with X-ray examination, with statistical significance (P<0.05). The detection rates of two methods for detecting fractures in direct violent injury had no statistically significant differences (P>0.05), while the detection rate of high-frequency ultrasound for detecting fractures in the indirect violence injury was higher than that of X-ray examination (P<0.05). When the fracture end displacement was less than 0.5 mm or between 0.5 and 2.0 mm, the detection rate of high-frequency ultrasound was superior to that of X-ray examination, with statistical differences (P<0.05). When the fracture end displacement was larger than 2.0 mm, the differences in the detection rate between X-ray examination and high-frequency ultrasound didn’t showed statistically significance (P>0.05). Conclusion High-frequency ultrasound is suitable for the early diagnosis of the fractures of rib and costal cartilage with less stressed emergency chest trauma and slight degree of bone displacement. High-frequency ultrasound is worthy of clinical application due to its higher detection rate and lower cost.
Last Update: 2018-01-25