Astaraki Peyman, Baghchi Bahareh, Ahadi Maryam
Department of Internal Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Emergency Medicine, School of Medicine, Taleghani Hospital, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ann Med Surg (Lond). 2022 May 26;78:103860. doi: 10.1016/j.amsu.2022.103860. eCollection 2022 Jun.
Nasal fractures need timely and accurate diagnosis for required treatment to prevent future deformities and unnecessary surgery. Radiography does not provide accurate finding in this case. The aim of this study is to evaluated diagnostic efficiency of ultrasound and CT scan for acute nasal fractures.
In this cross-sectional study included patients with nasal trauma referred to (XXX) from January 2020 to December 2020. Diagnostic ultrasound and CT scan was performed on all the patients and data obtained was stored in patient data collection forms along with their demographics. The data was statistically analyzed using SPSS v20.
Of 32 patients included in our study, 4 (12.5%) were females and 28 (87.5%) were males. The mean age of the patients was 40.28 ± 16.9 years. The specificity and sensitivity of ultrasound was 100% and 83.33%. The accuracy of the test was 93.75%. The specificity, sensitivity and accuracy were 100%, 95% and 96.88%, respectively. Chi square test also showed that there were a significant association between nose fracture and both CT scan and ultrasound, p < 0.001.
Our study showed that both, ultrasound and CT scan are efficient for the diagnosis of nasal fractures in the patients. Further studies with greater sample size are required in this domain.
鼻骨骨折需要及时准确的诊断以进行必要的治疗，防止未来出现畸形和不必要的手术。在这种情况下，X线摄影无法提供准确的诊断结果。本研究的目的是评估超声和CT扫描对急性鼻骨骨折的诊断效率。
在这项横断面研究中，纳入了2020年1月至2020年12月转诊至（XXX）的鼻外伤患者。对所有患者进行了诊断性超声和CT扫描，并将获得的数据与患者的人口统计学信息一起存储在患者数据收集表中。使用SPSS v20对数据进行统计分析。
在我们纳入研究的32例患者中，女性4例（12.5%），男性28例（87.5%）。患者的平均年龄为40.28±16.9岁。超声的特异性和敏感性分别为100%和83.33%。该检查的准确性为93.75%。CT扫描的特异性、敏感性和准确性分别为100%、95%和96.88%。卡方检验还显示鼻骨骨折与CT扫描和超声之间均存在显著关联，p<0.001。
我们的研究表明，超声和CT扫描对患者鼻骨骨折的诊断均有效。该领域需要进一步开展更大样本量的研究。
