MSCT三维重建技术指导老年股骨粗隆间骨折分型诊断的临床研究

Clinical research on classification and diagnosis of femoral intertrochanteric fractures in the elderly guided by MSCT three-dimensional reconstruction technology

中文关键词: 老年  股骨粗隆间骨折  多排螺旋CT  三维重建  诊断

英文关键词: elderly  femoral intertrochanteric fracture  multi-slice spiral CT  three dimensional reconstruction  diagnosis

中文摘要:

      目的 探析MSCT三维重建技术在老年股骨粗隆间骨折诊断中的临床价值.方法 回顾性选取2021年1月—2024年5月于临泉县人民医院接受手术治疗的152例老年股骨粗隆间骨折患者的临床资料,根据术前检查方式分为观察组(n=76)和对照组(n=76),观察组术前接受MSCT三维重建技术检查,对照组术前接受X线检查.根据术中X线检查结果,比较2组骨折稳定型、骨皮质连续性的检出率,以及对骨折分型的检查结果;比较2组患者的手术情况.结果 对照组对骨折稳定性、骨皮质连续性检出率高于术中X线检出率,差异有统计学意义(P＜0.05);观察组对骨折稳定性、骨皮质连续性检出率与术中X线检出率差异无统计学意义(P＞0.05).对照组骨折分型结果与术中X线差异有统计学意义(P＜0.05),观察组骨折分型结果与术中X线差异无统计学意义(P＞0.05).与对照组比较,观察组的手术时间较短、术中出血量较少,差异有统计学意义(P＜0.05).结论 MSCT三维重建对老年股骨粗隆间骨折的稳定性、骨皮质连续性的检出率、骨折分型与术中X线可能更吻合,并有助于缩短手术时间、降低术中出血量.

英文摘要:

      Objective To explore the clinical value of MSCT three-dimensional reconstruction technology in the diagno-sis of femoral intertrochanteric fractures in the elderly.Methods The clinical data of 152 elderly patients with femoral intertro-chanteric fractures who underwent surgical treatment in People's Hospital of Linquan County from January 2021 to May 2024 were retrospectively selected.They were divided into observation group(n=76)and control group(n=76)according to the preoperative examination methods.The observation group received MSCT three-dimensional reconstruction examination before the operation,while the control group received X-ray examination before the operation.Based on the intraoperative X-ray ex-amination results,the detection rates of the fracture stability and cortical continuity,as well as the fracture classification,were compared between the two groups.The operation conditions were also compared between the two groups.Results Compared with intraoperative X-ray results,preoperative X-ray showed higher detection rates of fracture stability and cortical continuity in the control group(P＜0.05),while there was no statistically significant difference in the detection rates of fracture stability and cortical continuity between preoperative MSCT three-dimensional reconstruction examination and intraoperative X-ray examina-tion in the observation group(P＞0.05).The fracture classification results in the control group showed statistically significant differences from the intraoperative X-ray results(P＜0.05),while the fracture classification results in the observation group showed no statistically significant differences from the intraoperative X-ray results(P＞0.05).Compared with the control group,the observation group had a shorter surgical time and less intraoperative bleeding,with statistical significant differences(P＜0.05).Conclusion The detection rate of fracture stability and cortical continuity in elderly patients with femoral inter-trochanteric fractures by MSCT three-dimensional reconstruction may be more consistent with intraoperative X-ray results.It may help shorten surgical time and reduce intraoperative bleeding.