376例肋骨骨折的X线诊断分析

探讨肋骨骨折的X线诊断。对 480例胸部闭合性创伤患者的X线图像及临床资料进行回顾性分析。在 480例中 ,376例 (78 3% )出现肋骨骨折。其中 335例 (89 1% )为多根肋骨骨折 ;348例 (92 6 % )骨折发生在一侧。376例共有 941根肋骨骨折 ,其中 90 3根 (96 0 % )为单根肋骨骨折 ,6 2 3根 (6 6 2 % )骨折发生在腋中线前后。在376例中 ,有 46例在伤后首次后前位胸片中出现部分或全部漏诊 ,占 12 2 %。肋骨骨折患者在摄取后前位胸片的同时应加拍患侧后前斜位 (加用滤线器 )胸片及在伤后 1～ 4周时复查摄片

An analysis of the X-ray diagnosis of the rib fracture of 376 cases

To define the X ray diagnostic criteria of the rib fracture.The radiological and the clinical manifestations of 480 patients with chest blunt injury were studied retrospectively.In our study,(fracture of ribs occurred in 376 cases 78 3%)335 cases out of 376 cases had fractures more than one rib.In 348 cases,rib fracture took place on one side of the chest.In 376 cases,941 ribs were fractured.Only one fracture occurred in each rib in 903 ribs.In 623 ribs (66 2%), the fracture took place before and behind the mid axillary line.Among 376 cases,the diagnosis were mistake in 46 cases(12 2%)according to the first posterior anterior film of the chest.In case of rib fracture,besides the posterior anterior radiography,the radiography of the posterior anterior oblique position is need.Also re examination of the chest is required 1～4 weeks after of the chest injury.