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目的探讨MRI在诊断隐性骨折中的应用价值。方法回顾性分析72例隐性骨折患者的临床及MRI诊断资料。所有患者均行MRI检查,层厚3～6 mm,T1WI、PDWI(或T2脂肪抑制)序列,矢状、冠状、横断扫描,并与X线平片或CT片对比。结果 72例患者中颈椎齿状突骨折3例,腰椎骨折9例,骶椎骨折6例,肩关节损伤3例,膝关节损伤17例,髋关节损伤7例,肋骨骨折6例,胸骨骨折1例,肘关节骨损伤4例,腕关节损伤5例,足踝部损伤11例。结论 MRI能够对隐性骨折做出早期全面准确地诊断与CT及X线结合可提高诊断效果。
Objective To explore the value of MRI in the diagnosis of latent fractures. Methods The clinical and MRI diagnostic data of 72 patients with recessive fractures were retrospectively analyzed. All patients underwent MRI examination with layer thickness of 3 to 6 mm, T1WI, PDWI (or T2 fat suppression) sequence, sagittal, coronal and transection scans, and compared with plain radiographs or CT radiographs. Results There were 3 cases of cervical odontoid fracture, 9 cases of lumbar fracture, 6 cases of sacral fracture, 3 cases of shoulder joint injury, 17 cases of knee joint injury, 7 cases of hip joint injury, 7 cases of hip joint injury, 6 cases of rib fracture, Cases, elbow bone injury in 4 cases, wrist injury in 5 cases, foot and ankle injury in 11 cases. Conclusion MRI can make the early comprehensive and accurate diagnosis of tibia fractures in combination with CT and X-ray to improve the diagnostic results.