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X射线图像测量在踝关节韧带运动损伤早期诊断中的应用

Application of X-ray image measurement in the early diagnosis of sports injury of ankle ligament.

作者信息

Meng Shuqiao, Tong Wenxia, Han Shanshan

机构信息

Shuqiao Meng, PhD. Physical Education College of Yangzhou University, Yangzhou, 225000, Jiangsu, China.

Wenxia Tong, PhD. Physical Education College of Yangzhou University, Yangzhou, 225000, Jiangsu, China.

出版信息

Pak J Med Sci. 2021;37(6):1580-1584. doi: 10.12669/pjms.37.6-WIT.4841.

Abstract

OBJECTIVES

To study the value of X-ray analysis method of ankle fracture based on injury mechanism to improve the imaging diagnosis level of ankle fracture.

METHODS

This study was conducted from January 2016 to December 2019. It included 105 cases of fractures caused by sprained ankle joints. Their age was between 21-81 years with an average of 49.5 years, The traditional X-ray analysis method (Group-A) and the injury mechanism-based ankle fracture X-ray analysis method (Group-B) were used to analyze X-ray image data. Group-B also performed Weber classification and Lauge-Hansen classification on cases. Installment.

RESULTS

Of the 105 patients with ankle fractures, 97 patients in Group-B were able to make Lauge-Hansen classification. Of these 97 ankle fractures, 137 were found in Group-A, and 158 were found in Group-B. The wrong diagnosis of fracture in Group-A was 18%, and the wrong diagnosis of fracture in Group-B was 0.5%. There was a statistically significant difference between the two groups (P <0.05).

CONCLUSION

The X-ray analysis method of ankle fractures based on injury mechanism can effectively improve the detection rate of hidden ankle fractures and high fibular fractures, and reduce the missed diagnosis, which is superior to the traditional X-ray analysis methods. At the same time, Weber classification, Lauge-Hansen classification and staging can be made for most cases, which is conducive to guiding clinical treatment.

摘要

目的

探讨基于损伤机制的踝关节骨折X线分析方法的价值,以提高踝关节骨折的影像诊断水平。

方法

本研究于2016年1月至2019年12月进行。纳入105例踝关节扭伤所致骨折患者。年龄21 - 81岁,平均49.5岁。采用传统X线分析方法(A组)和基于损伤机制的踝关节骨折X线分析方法(B组)对X线图像数据进行分析。B组还对病例进行Weber分型和Lauge - Hansen分型分期。

结果

105例踝关节骨折患者中,B组97例能够进行Lauge - Hansen分型。这97例踝关节骨折中,A组发现137处骨折,B组发现158处骨折。A组骨折误诊率为18%,B组骨折误诊率为0.5%。两组差异有统计学意义(P <0.05)。

结论

基于损伤机制的踝关节骨折X线分析方法能有效提高隐匿性踝关节骨折和高位腓骨骨折的检出率,减少漏诊,优于传统X线分析方法。同时,多数病例可进行Weber分型及Lauge - Hansen分型分期,有利于指导临床治疗。

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