朱小成 何美香

[摘要]目的 对比评价X线与CT诊断在膝关节损伤中的价值。方法 选取2016年7月～2017年7月广东省佛山市中医院禅城高新区医院和广东省佛山市顺德区乐从医院收治的膝关节损伤患者100例，對所有患者均先后行X线诊断、CT诊断，以手术结果作为诊断标准。比较组间诊断的损伤类型（韧带损伤、半月板损伤、胫骨平台骨折）检出率和骨折塌陷、劈裂距离。结果 CT诊断与手术结果之间的损伤类型（韧带损伤、半月板损伤、胫骨平台骨折）检出率差异无统计学意义（P>0.05）；且CT诊断在骨折塌陷、劈裂距离方面所得结果更接近于手术结果，差异无统计学意义（P>0.05）。X线诊断与手术结果之间的损伤类型（韧带损伤、半月板损伤、胫骨平台骨折）检出率的比较，差异有统计学意义（P<0.05）；且X线诊断在骨折塌陷、劈裂距离方面所得结果与手术结果之间的比较，差异有统计学意义（P<0.05）。X线诊断检出率[90.00%（90/100）]低于CT诊断检出率[99.00%（99/100）]，差异有统计学意义（P<0.05）。结论 对膝关节损伤患者实施CT诊断的应用价值更为显著，能够有效且准确地反映膝关节受损情况。

[关键词]X线；CT诊断；膝关节损伤；价值对比

[中图分类号] R684 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0085-03

Application value of X-ray and CT in the diagnosis of knee joint injury

ZHU Xiao-cheng1 HE Mei-xiang2▲

1.Department of Radiology，Chancheng Hi-tech Zone Hospital，Foshan City，Guangdong Province，Foshan 528300，China；2.B-Ultrasound Room，Lecong Hospital，Shunde District，Foshan City，Guangdong Province，Foshan 528315，China

[Abstract]Objective To compared and evaluate the value of X-ray and CT diagnosis in knee joint injury.Methods From July 2016 to July 2017，100 patients with knee joint injury were selected in Chancheng Hi-tech Zone Hospitaland Lecong Hospital，Shunde District，Foshan City，Guangdong Province，hospital，all patients were diagnosed by X-ray and CT，and the surgical results were taken as diagnostic criteria. The detection rate，fracture collapse and splitting distance of the types of injury （ligament injury，meniscal injury and tibial plateau fracture） diagnosed between the two groups were compared.Results There was no significant difference between CT diagnosis and surgical results （P>0.05）. And CT diagnosis in fracture collapse，splitting distance results were more close to the surgical results，the difference was not statistically significant （P>0.05）.X-ray diagnosis and surgical results between the types of injury （ligament injury，meniscal injury，tibial plateau fracture） detection rate comparison，the difference was statistically significant （P<0.05）；X-ray diagnosis in fracture collapse，splitting distance between the results and surgical results，the difference was statistically significant （P<0.05）.The detection rate of X-ray diagnosis was 90.00 % （90/100） which was lower than that of CT diagnosis [99.00%（99/100）]，the difference was statistically significant（P<0.05）.Conclusion For knee injury patients，the application value of CT diagnosis is more remarkable compared with that by X-ray，and the former can effectively and accurately reflect the knee joint injury.

[Key words]X-ray；CT diagnosis；Knee joint injury；Value comparison

膝关节损伤的主要损伤类型包括韧带损伤、半月板損伤、胫骨平台骨折等，据相关研究显示，膝关节损伤患者较易发生滑膜损伤情况，进而导致关节囊内出现积液或积血，严重病情患者会直接造成运动功能障碍等不良情况发生。除此之外，膝关节两端均为骨松质，若经过了高负荷情况，则十分容易引发骨粉碎现象发生，给患者造成十分不利的身心影响，由此可见，为了给患者提供更为有效的临床治疗方案，需及早进行病情确诊。X线与CT诊断均是临床使用十分频繁的诊断方式，在膝关节骨折中的应用频率也相对较高。本文……