Peterson Benjamin E, Doerr Timothy D
Department of Medicine, Duke University Hospital, Durham, North Carolina.
Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York.
Craniomaxillofac Trauma Reconstr. 2013 Dec;6(4):221-4. doi: 10.1055/s-0033-1349206.
In many centers, computed tomography (CT) scan is preferred over plain film radiographs in the setting of acute nasal injury because CT scan is thought to be more sensitive in predicting nasal bone fracture. However, the usefulness of CT scans in predicting the need for surgery in acute nasal injury has not been well-studied. We conducted a retrospective review of 232 patients with known nasal bone fracture and found very similar rates of surgery in patients with a diagnosis of nasal fracture by CT scan as by nasal radiographs (41 and 37%, respectively). This suggests that experienced clinical examination remains the gold standard for determining the need for surgery in isolated nasal trauma, regardless of CT findings.
在许多医疗中心，对于急性鼻外伤患者，计算机断层扫描（CT）比普通X光片更受青睐，因为人们认为CT在预测鼻骨骨折方面更敏感。然而，CT扫描在预测急性鼻外伤手术需求方面的实用性尚未得到充分研究。我们对232例已知鼻骨骨折的患者进行了回顾性研究，发现通过CT扫描诊断为鼻骨折的患者与通过鼻X光片诊断的患者的手术率非常相似（分别为41%和37%）。这表明，无论CT检查结果如何，经验丰富的临床检查仍是确定单纯鼻外伤手术需求的金标准。
