| 沈素红,马莉,付卓,耿丰勤,陈超,李一凡.实时超声引导鼻骨骨折闭合复位[J].中国医学影像技术,2019,35(12):1866~1869 |
| 实时超声引导鼻骨骨折闭合复位 |
| Real time ultrasound guided closed reduction of nasal bone fracture |
| 投稿时间：2016-05-21 修订日期：2016-09-15 |
| DOI：10.13929/j.1003-3289.201905164 |
| 中文关键词: 超声检查 鼻骨 骨折,骨 闭合复位 |
| 英文关键词:Ultrasonography nasal bone fractures, bone closed reduction |
| 基金项目:河南省中医药科学研究专项课题（2017ZY2119）。 |
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| 中文摘要: |
| 目的 探讨实时超声引导鼻骨骨折闭合复位的临床价值。方法 将60例临床确诊的鼻骨骨折患者随机分为试验组和对照组，每组30例。对2组患者均在全麻下行鼻骨骨折闭合复位治疗，其中试验组为实时超声引导下行骨折闭合复位，对照组为传统视诊、触诊下骨折闭合复位。复位后，基于鼻部CT平扫图像采用3分法评价复位效果。对比分析2组间骨折二次复位率、患者住院时间及术后CT评分的差异。结果 试验组骨折二次复位率为0，对照组为13.33%（4/30），2组间差异有统计学意义（χ2=4.286，P=0.038）。试验组患者中位住院时间为4天，对照组为5天，试验组较对照组明显缩短（Z=-5.024，P<0.001）。试验组术后CT评分为3分、2分及1分者分别为19例、11例和0，对照组分别为11例、16例和3例，试验组较对照组复位效果更优（χ2=6.059，P=0.048）。结论 实时超声引导鼻骨骨折闭合复位精准、可靠，可减少骨折二次复位风险并避免X线辐射，且可有效缩短患者住院时间，提高医患双方满意度。 |
| 英文摘要: |
| Objective To explore the clinical value of real-time ultrasound-guided closed reduction of nasal bone fracture. Methods Sixty patients with clinically confirmed nasal bone fractures were randomly divided into experimental group and control group (each n=30). Both groups were treated with closed reduction of nasal bone fracture under general anesthesia. Patients in experimental group were treated with real-time ultrasound-guided closed reduction, while those in control group were treated with closed reduction of nasal bone fracture under traditional visual and palpation. After reduction, effect of reduction was evaluated with three-point method based on nasal CT scan. The second reduction rates, hospitalization time and post-operative CT scores were compared between the two groups. Results The second reduction rate of fracture was 0 in the experimental group, whereas 13.33% (4/30) in control group (χ2=4.286, P=0.038).The hospitalization time of experimental group was 4 days, of control group was 5 days (Z=-5.024, P<0.001). The scoring of experimental group were 3 points and 2 points respectively in 19 cases and 11 cases, while of control group were 3 points in 11 cases, 2 points in 16 cases and 1 point in 3 cases. The reduction effect of experimental group was better than that of control group (χ2=6.059, P=0.048). Conclusion Real-time ultrasound-guided closed reduction of nasal bone fracture is accurate and reliable, which can reduce the risk of second reduction of fracture and avoid X-ray radiation, also effectively shorten the hospitalization time of patients and improve the satisfaction of both doctors and patients. |
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