|本期目录/Table of Contents|

[1]夏巍巍,范志刚,徐周继,等.基于灰度差分法对隐匿性跖骨行军骨折X线片诊断能力的研究[J].医学研究与战创伤救治(原医学研究生学报),2017,19(04):365-368.[doi:10.3969/j.issn.1672-271X.2017.04.008]
　XIA Wei-wei,FAN Zhi-gang,XU Zhou-ji,et al.A study on the diagnostic capability of the X ray of the occult metatarsal fracture based on the gray difference method[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2017,19(04):365-368.[doi:10.3969/j.issn.1672-271X.2017.04.008]
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基于灰度差分法对隐匿性跖骨行军骨折X线片诊断能力的研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第19卷
期数:
2017年04期
页码:
365-368
栏目:
出版日期:
2017-08-10

文章信息/Info

Title:
A study on the diagnostic capability of the X ray of the occult metatarsal fracture based on the gray difference method
作者:
夏巍巍; 范志刚; 徐周继; 陈金美
作者单位：212001镇江，解放军第359医院放射科
Author(s):
XIA Wei-wei;  FAN Zhi-gang;  XU Zhou-ji;  CHEN Jin-mei
(Department of Radiology,the 359th Hospital of PLA,Zhenjiang 212001,Jiangsu,China)
关键词:
灰度差分法; 跖骨; 行军骨折; 诊断
Keywords:
Gray difference method;  Metatarsal bone;  Marching fracture;  Diagnosis
分类号:
R683.42
DOI:
10.3969/j.issn.1672-271X.2017.04.008
文献标志码:
A
摘要:
目的 提高隐匿性跖骨行军骨折的X线片诊断能力，为相关方案的借鉴及推广提供依据。方法 收集解放军第359医院放射科影像学资料，以首诊时X线片中跖骨行军骨折未被明确，而复诊时确诊的病例为对象，共计129例。收集同期接受影像学检查的脚部无异常100例作为对照组。运用医学图像灰度差分法对其进行回顾性分析研究。结果 结合灰度差分法，隐匿性跖骨行军骨折处灰度波形曲线异常，局部呈现陡增波峰或陡降波谷征象。多次采集可有效界定隐匿性跖骨行军骨折线的范围。基于灰度差分法对隐匿性跖骨行军骨折的诊断率分别为第1跖骨100%，第2跖骨91.14%，第3跖骨100%，第4跖骨91.67%，第5跖骨92.00%。结论 基于灰度差分法可有效提高X线片对隐匿性跖骨行军骨折的诊断能力，此种方案可在部队基层医院广泛推广。
Abstract:
Objective To improve the diagnostic ability of X ray in occult metatarsal fracture, and provide basis for reference and promotion.Methods Collecting the radiology data of the 359th Hospital of PLA, data of patient whose metatarsal fracture was not clear in the first diagnosis of X ray and diagnosed after the follow-up visit were included in the study. 129 cases were included in the case group, and 100 cases in the normal control group. A retrospective analysis was made by using the medical method of gray difference.Results Combining the gray difference method, occult fracture of metatarsal bone gray curve showed abnormal local steep peak or trough steep signs. Multiple collections can effectively define the range of occult metatarsal fractures. The diagnostic rate of occult metatarsal fractures was showed as followed, the first metatarsal bone 100%, the second metatarsal bone 91.14%, the third metatarsal 100%, the fourth metatarsal 91.67%, and the fifth metatarsal bone 92.00%, respectively.Conclusion Based on the gray difference method, the diagnostic capability of X ray in the occult metatarsal fracture could be effectively improved. This kind of scheme could be widely used in the primary hospitals of PLA.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2017-07-20