普通X 线与CT 对鼻骨骨折诊断效果对比

温娟

（咸阳市第一人民医院，陕西 咸阳，712000）

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摘要：

目的 探讨和分析普通X 线与CT 对鼻骨骨折的诊断效果。方法 选择2014 年7 月至2017 年7 月在我院诊治的100 例 鼻骨骨折患者当作研究对象，所有患者均通过普通X 线和CT 进行检查，评价两种检查方法的诊断效果。结果 CT 对鼻骨骨 折的检出率高于X 线（P<0.05）。X 线对鼻骨及鼻中隔骨折检出率稍高于CT，但差异不显著（P>0.05）；X 线对复合骨折的检出 率高于CT（P<0.05），单纯骨折的检出率稍低于CT，但差异不显著（P跃0.05）。100 例患者通过普通X 线进行诊断时，有23 例 患者诊断是可疑鼻骨骨折（19 例复合骨折，3 例鼻中隔骨折，1 例单纯骨折），15 例患者未诊断出骨折（8 例复合骨折，6 例鼻 中隔骨折，1 例单纯骨折）。结论 在鼻骨骨折的诊断中，普通X 线诊断操作简单且费用低廉，但是诊断准确率较低，而CT 诊 断的准确率高且还能提供清晰的骨折信息，可作为鼻骨骨折首选的诊断措施。

关键词：鼻骨骨折；普通X 线；CT

中图分类号：R816.96文献标志码：A文章编号：2096-1413(2018)05-0151-02

Diagnosis effect comparison of X-ray and CT in nasal bone fracture


WEN Juan
(the First People``s Hospital of Xianyang City, Xianyang 712000, China)

ABSTRACT: Objective To investigate and analyze the diagnosis effect of X-ray and CT in nasal bone fracture. Methods From July 2014 to July 2017, 100 patients with nasal bone fracture treated in our hospital were selected as the study subjects. All the patients were examined by X-ray and CT. The diagnosis efficacy of both methods were evaluated. Results The detection rate of CT in nasal fracture was higher than that of the X-ray (P<0.05). The detection rate of X-ray to the nasal bone and nasal septum fracture was slightly higher than that of CT, but the difference was not significant (P>0.05). The simple fracture detection rate of X-ray was slightly lower than that of the CT, but the difference was not significant (P> 0.05); the detection of composite fractures of X-ray was higher than that of the CT (P<0.05). Of the 100 patients diagnosed by X-ray, 23 cases were suspected nasal fracture (19 cases of composite fracture, 3 cases of nasal septal fracture, 1 case of simple fracture) and 15 cases were not diagnosed with fracture (8 cases of composite fracture, 6 cases of nasal septal fracture, 1 case of simple fracture). Conclusion In the diagnosis of nasal bone fracture, X-ray diagnosis is simple and cheap, but the diagnostic accuracy is low. The diagnosis accuracy of CT is high, and it also provides clear fracture information, it can be used as the first choice for the diagnosis of nasal bone fracture.
KEYWORDS: nasal bone fracture; X-ray; CT

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