To observe the application effect of X-ray plain film and CT post-processing technology in fixation of multiple rib fractures
观察X线平片与CT后处理技术在多发性肋骨骨折固定术中的应用效果

摘要

目的 探讨X线平片与CT后处理技术在多发性肋骨骨折固定术患者的术前诊断价值，分析两种检查方式对术后并发症的检出效果。方法 筛选100例在医院接受手术治疗的骨折固定术的多发性肋骨骨折患者，纳入时间为2020年1月-2022年6月。全部患者均接受X线平片和CT后处理技术，比较两种检查方式在术前多发性肋骨骨折的诊断效能，统计两种检查方式对患者不同部位骨折的检出效果，术后通过两组并发症检出率比较两种检查方式的应用价值。结果 与确诊结果相比较，X线平片诊断多发性肋骨骨折准确率、敏感度、特异度分别为85.22%、87.05%、16.67%；CT后处理技术诊断多发性肋骨骨折准确率、敏感度、特异度分别为96.96%、97.32%、83.33%；相较于X线平片，CT后处理技术诊断准确度、灵敏度、特异度均更高（P<0.05）；从不同部位多发性肋骨骨折检出率方面比较，相较于X线平片，CT后处理技术对肋腋弓处骨折检出率均更高；从术后并发症检出效果方面比较，两组对并发症检出效果无显著差异（P>0.05）。结论 对多发性肋骨骨折固定术患者而言，术前对其进行CT后处理技术检查相较于X线平片检查具备更高的诊准确率、灵敏度和特异度，且能够有效检出肋腋弓处骨折，能够为手术提供有效的影像学参考资料。术后两种检查方式均能在一定程度上检出并发症，X线平片相对操作更为简便，临床可根据需求选用。

Abstract

Objective: To investigate the preoperative diagnostic value of X-ray plain film and CT post-processing technology in patients with multiple rib fracture fixation, and to analyze the effect of the two examination methods on the detection of postoperative complications.
Methods A total of 100 patients with multiple rib fractures who received surgical treatment of fracture fixation in the hospital were screened, and the inclusion period was from January 2020 to June 2022. All patients received X-ray plain film and CT post-processing techniques. The diagnostic efficacy of the two examination methods in preoperative multiple rib fractures was compared, and the detection effects of the two examination methods on fractures in different parts of the patients were calculated. The detection rate of complications compared the application value of the two inspection methods.
Results Compared with the confirmed results, the accuracy, sensitivity, and specificity of X-ray plain film in the diagnosis of multiple rib fractures were 85.22%, 87.05%, and 16.67%, respectively. The specificities were 96.96%, 97.32%, and 83.33%, respectively; compared with plain X-ray films, CT post-processing technology had higher diagnostic accuracy, sensitivity, and specificity (P<0.05). Compared with the X-ray plain film, the CT post-processing technology has a higher detection rate of fractures at the rib-axillary arch; in terms of the postoperative complication detection effect, the two groups have no effect on the complication detection. Significant difference (P>0.05).
Conclusion  s For patients with multiple rib fracture fixation, preoperative CT post-processing technique examination has higher diagnostic accuracy, sensitivity and specificity than X-ray examination, and can effectively detect the costal axilla. Fractures at the arch can provide effective imaging reference materials for surgery. Both postoperative examination methods can detect complications to a certain extent, and X-ray plain film is relatively simple to operate, and can be selected according to clinical needs.