[1]黄丽,高峰,罗庆华. 高频超声在急诊肋骨及肋软骨骨折中的临床应用[J].中国医学物理学杂志,2018,35(1):106-109.[doi:DOI:10.3969/j.issn.1005-202X.2018.01.019]
　HUANG Li,GAO Feng,LUO Qinghua. Clinical application of high-frequency ultrasound in the diagnosis of emergency rib and costal cartilage fractures[J].Chinese Journal of Medical Physics,2018,35(1):106-109.[doi:DOI:10.3969/j.issn.1005-202X.2018.01.019]
点击复制

 高频超声在急诊肋骨及肋软骨骨折中的临床应用()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第1期
页码:
106-109
栏目:
医学生物物理
出版日期:
2018-02-07

文章信息/Info

Title:
 Clinical application of high-frequency ultrasound in the diagnosis of emergency rib and costal cartilage fractures
文章编号:
1005-202X（2018）01-0106-04
作者:
 黄丽1; 2; 高峰1; 罗庆华2
 1.中南大学湘雅三医院， 湖南 长沙 410013； 2.浏阳市中医医院， 湖南 浏阳 410300
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
关键词:
 ; 高频超声; X线; 肋骨骨折; 肋软骨骨折; 错位幅度
Keywords:
 ; Keywords: high-frequency ultrasound;  X-ray;  rib fracture;  costal cartilage fracture;  degree of displacement
分类号:
R445；R638.1
DOI:
DOI:10.3969/j.issn.1005-202X.2018.01.019
文献标志码:
A
摘要:
 目的：研究高频超声在急诊肋骨与肋软骨骨折中的临床应用，为临床应用提供数据基础。 方法：回顾性分析中南大学湘雅三医院就诊的90例肋骨或肋软骨骨折患者，对比高频超声与X线肋骨的肋软骨骨折、不同损伤肋骨骨折、不同错位幅度肋骨骨折的检出率，分析两者的优缺点，总结高频超声在急诊肋骨及肋软骨骨折中的诊断价值和优势。 结果：高频超声的肋骨骨折、肋软骨骨折的检出率高于X线检查，差异有统计学意义（P<0.05）；在直接暴力损伤中两者肋骨骨折的检出率比较无统计学意义（P>0.05），在间接暴力损伤中两者肋骨骨折的检出率高频超声优于X线检查，差异有统计学意义（P<0.05）；在骨折断端错位小于0.5 mm及0.5~2.0 mm时高频超声检出率优于X线检查，差异有统计学意义（P<0.05），在骨折断端错位大于2.0 mm时，X线检查检出率与高频超声检查比较无统计学意义（P>0.05）。 结论：高频超声适用于急诊胸外伤受力较小、骨折错位较轻的肋骨骨折及肋软骨骨折的早期确诊，检出率高，价格便宜，值得临床广泛应用。
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.

相似文献/References:

[1]王遥,霍万里,熊壮,等.TACE手术中不同站姿下铅眼镜和铅面罩对医生眼晶状体防护效果的蒙特卡洛模拟比较[J].中国医学物理学杂志,2016,33(6):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
　[J].Chinese Journal of Medical Physics,2016,33(1):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
[2]张新,谷晓芳,王培臣,等.轻离子束治疗设备注册检验关键技术问题[J].中国医学物理学杂志,2016,33(6):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
　[J].Chinese Journal of Medical Physics,2016,33(1):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
[3]江芬芬,王培,康盛伟,等. 热释光剂量片测量肺部肿瘤放疗剂量的方法[J].中国医学物理学杂志,2016,33(6):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
　[J].Chinese Journal of Medical Physics,2016,33(1):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
[4]刘洪源,彭威,杨锐,等. 锥形束CT离线校正肺癌摆位误差[J].中国医学物理学杂志,2016,33(6):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
　[J].Chinese Journal of Medical Physics,2016,33(1):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
[5]赵彪,潘香,杨毅,等. 右乳癌保乳术后瘤床同步X线和后程电子线补量调强放疗剂量学比较[J].中国医学物理学杂志,2016,33(6):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
　[J].Chinese Journal of Medical Physics,2016,33(1):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
[6]邓南,钱建庭,刁现芬,等. 基于宽带检测放疗X-光光声效应仿体实验[J].中国医学物理学杂志,2016,33(9):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
　[J].Chinese Journal of Medical Physics,2016,33(1):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
[7]张先稳,李军,张西志,等. 宫颈癌术后5野调强放疗4个变量组合的最佳治疗模式的剂量学[J].中国医学物理学杂志,2016,33(9):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
　[J].Chinese Journal of Medical Physics,2016,33(1):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
[8]胡健,李承军,徐利明,等. 床面倾斜对剂量验证通过率的影响[J].中国医学物理学杂志,2016,33(9):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
　[J].Chinese Journal of Medical Physics,2016,33(1):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
[9]陈亚正,肖明勇,孙春堂,等. 准直器角度对宫颈癌术后VMAT计划的影响[J].中国医学物理学杂志,2016,33(9):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
　[J].Chinese Journal of Medical Physics,2016,33(1):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
[10]李毅,唐丰文,张晓智. 基于四维CT和锥形束CT确定非小细胞肺癌放疗靶区外放边界[J].中国医学物理学杂志,2016,33(9):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]
　[J].Chinese Journal of Medical Physics,2016,33(1):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]

备注/Memo

备注/Memo:
 【收稿日期】2017-09-25
【基金项目】国家自然科学基金（81371690）
【作者简介】黄丽，硕士，主治医师，研究方向：超声影像，E-mail: lizy0421@sina.com
【通信作者】高峰，博士，副主任医师，研究方向：超声影像，E-mail: 346281180@qq.com
更新日期/Last Update: 2018-01-25