CT及X线在股骨头坏死分期诊断中的价值评价
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摘要
目的:评价CT及X线在股骨头坏死分期中的诊断准确性及价值。方法:收集我院2016年6月-2018年6月收治的46例确诊为股骨头坏死患者的影像资料,所有患者均进行CT及X线检查,行CT检查的为CT组,行X线检查的为X线组。比较两组患者股骨头坏死的阳性检出率及0期、I期、II期、III期、IV期分期诊断检出率。结果:CT组患者的阳性检出率(82.6%)显著高于X线组(63.0%),二者差异有统计学意义(Χ2=4.449,P<0.05);且CT组患者在0期、I期、II期股骨头坏死检出率高于X线组(均P<0.05),而在III期、IV期的检出率,二者差异无统计学意义(均P>0.05)。结论:CT对股骨头坏死的检出率较X线高,且在股骨头坏死的早期诊断中较占优势。
Objective: To evaluate the diagnostic accuracy and value of CT and X-ray in femoral head necrosis stage. Methods: The imaging data of 46 patients diagnosed with femoral head necrosis admitted and treated in our hospital from June 2016 to June 2018 were collected. All patients underwent CT and X-ray examination. The positive detection rate of femoral head necrosis and the diagnostic detection rate of stage 0, stage I, stage II, stage III and stage IV were compared between the two groups. Results: The positive detection rate(82.6%) in the CT group was significantly higher than that in the X-ray group(63.0%), and the difference was statistically significant(X2=4.449, P <0.05).Moreover, the detection rate of femoral head necrosis in the CT group was higher than that in the Xray group(all P<0.05), while the detection rate in the phase III and IV groups showed no significant difference(all P>0.05). Conclusion: CT has a higher detection rate of femoral head necrosis than X-ray,and it is more advantageous in the early diagnosis of femoral head necrosis.
Objective: To evaluate the diagnostic accuracy and value of CT and X-ray in femoral head necrosis stage. Methods: The imaging data of 46 patients diagnosed with femoral head necrosis admitted and treated in our hospital from June 2016 to June 2018 were collected. All patients underwent CT and X-ray examination. The positive detection rate of femoral head necrosis and the diagnostic detection rate of stage 0, stage I, stage II, stage III and stage IV were compared between the two groups. Results: The positive detection rate(82.6%) in the CT group was significantly higher than that in the X-ray group(63.0%), and the difference was statistically significant(X2=4.449, P <0.05).Moreover, the detection rate of femoral head necrosis in the CT group was higher than that in the Xray group(all P<0.05), while the detection rate in the phase III and IV groups showed no significant difference(all P>0.05). Conclusion: CT has a higher detection rate of femoral head necrosis than X-ray,and it is more advantageous in the early diagnosis of femoral head necrosis.
引文
[1]周兴民.CT及X线诊断股骨头坏死影像学表现及价值观察[J].现代医用影像学,2018,1(5):190-191.
[2]唐海涛.CT与磁共振技术在股骨头坏死诊断中的应用价值比较分析[J].影像技术,2017,29(6):50-52.
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[4]徐金锋,孙东方.多排螺旋CT与MRI检查股骨头坏死临床价值分析[J].医学影像学杂志,2016,1(69):182-184.
[5]林映常.CT及X线平片在股骨头坏死诊断中的应用价值比较分析[J].现代诊断与治疗,2014,25(23):5449-5450.
[6]陈健,高勇,郭丽玲等.CT、X线在股骨头缺血性坏死Ficat、ARCO和Steinberg三种分期方法中的应用比较[J].医学临床研究,2017,34(1):122-124.
[7]顾苗苗,张世昌.X线、CT和MR检查早期股骨头缺血坏死临床价值分析[J].医学影像学杂志,2016,26(11):2137-2140.
[8]随义,姜西良,王勇.CT检查在早期股骨头缺血坏死分期诊断中的价值[J].宁夏医科大学学报,2013,35(3):321-322.
[9]A Tsai, S Connolly, A Nedder, et al. Visualization andAnalysis of the Deforming Piglet Femur and Hip FollowingExperimentally Induced Avascular Necrosis of the FemoralHead[J].IEEE Transactions on Biomedical Engineering,2013,60(6):1742-1750.
[2]唐海涛.CT与磁共振技术在股骨头坏死诊断中的应用价值比较分析[J].影像技术,2017,29(6):50-52.
[3]陈道忠.股骨头坏死的X线及CT诊断价值[J].中外医疗,2011,30(19):174-174.
[4]徐金锋,孙东方.多排螺旋CT与MRI检查股骨头坏死临床价值分析[J].医学影像学杂志,2016,1(69):182-184.
[5]林映常.CT及X线平片在股骨头坏死诊断中的应用价值比较分析[J].现代诊断与治疗,2014,25(23):5449-5450.
[6]陈健,高勇,郭丽玲等.CT、X线在股骨头缺血性坏死Ficat、ARCO和Steinberg三种分期方法中的应用比较[J].医学临床研究,2017,34(1):122-124.
[7]顾苗苗,张世昌.X线、CT和MR检查早期股骨头缺血坏死临床价值分析[J].医学影像学杂志,2016,26(11):2137-2140.
[8]随义,姜西良,王勇.CT检查在早期股骨头缺血坏死分期诊断中的价值[J].宁夏医科大学学报,2013,35(3):321-322.
[9]A Tsai, S Connolly, A Nedder, et al. Visualization andAnalysis of the Deforming Piglet Femur and Hip FollowingExperimentally Induced Avascular Necrosis of the FemoralHead[J].IEEE Transactions on Biomedical Engineering,2013,60(6):1742-1750.