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运用X线平片及三维计算机断层扫描评估髋臼骨折的Letournel和Judet分类法

Evaluation of Letournel and Judet classification of acetabular fracture with plain radiographs and three-dimensional computerized tomographic scan.

作者信息

Visutipol Boonyarak, Chobtangsin Pornchai, Ketmalasiri Bunyat, Pattarabanjird Narongchai, Varodompun Namchai

机构信息

Institute of Orthopaedics, Lerdsin General Hospital, Bangkok, Thailand.

出版信息

J Orthop Surg (Hong Kong). 2000 Jun;8(1):33-37. doi: 10.1177/230949900000800107.

DOI:10.1177/230949900000800107
PMID:12468873
Abstract

Letournal and Judet classification of acetabular fracture is widely used. The classification is based on the identification of fracture lines on plain radiographs. Three-dimensional CT scan was claimed to give a better view of the fracture line. Our study showed that intraobserver reproducibility and interobserver reliability were almost the same when classification was done by using plain radiographs and 3D-CT scan. And 3D-CT scan did not increase either the interobserver reliability or the intraobserver reproducibility in classifying the fracture.

摘要

髋臼骨折的Letournal和Judet分类法被广泛应用。该分类基于普通X线片上骨折线的识别。三维CT扫描据称能更好地显示骨折线。我们的研究表明,当使用普通X线片和三维CT扫描进行分类时,观察者内再现性和观察者间可靠性几乎相同。并且三维CT扫描在骨折分类中既没有提高观察者间可靠性,也没有提高观察者内再现性。

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