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目的:探讨膈下肋骨骨折的X线摄影方法,以提高膈下肋骨骨折的X线诊断准确性。方法:对150例临床拟诊肋骨骨折的外伤患者进行双能量减影(dual-energy subtraction,DES)、常规胸片、常规腹平片摄影检查。比较三种方法对膈下肋骨骨折的显示能力。分别计算三种方法的敏感性。结果:对于所有膈下肋骨骨折,常规腹平片摄影法显示膈下肋骨骨折73处,DES显示41处,常规胸片显示22处,常规腹平片摄影法与另两种方法之间的差异具有统计学意义(P<0.01)。结论:常规腹平片摄影能明显提高膈下肋骨骨折的检出率,从而提高了放射诊断质量。
OBJECTIVE: To explore X-ray photography of subphrenic rib fractures to improve X-ray diagnostic accuracy of subphrenic rib fractures. Methods: One hundred and fifty cases of traumatic patients with suspected fractures of the ribs were examined by dual-energy subtraction (DES), conventional chest radiographs and routine abdominal plain radiographs. Comparison of three methods of diaphragmatic fractures of the ribs show the ability. Calculate the sensitivity of the three methods respectively. RESULTS: For all subphrenic rib fractures, conventional abdominal plain radiography showed 73 subtrochanteric rib fractures, 41 for DES, 22 for conventional chest radiographs, and 22 for conventional abdominal plain radiography versus the other two With statistical significance (P <0.01). CONCLUSION: Conventional abdominal plain radiographs can significantly improve the detection rate of subphrenic rib fractures, thus improving the quality of radiological diagnosis.