核磁共振技术与CT应用于股骨头坏死诊断中的临床价值探讨(1)
[摘要] 目的 探讨核磁共振技术与CT应用于股骨头坏死诊断中的临床价值。 方法 方便选取2018年8月—2019年10月在该院诊疗的112例股骨头坏死患者作为对象。基于随机数字表法，均分成立对照与观察组两组，每组56例。对照组用CT诊断，观察组则采用核磁共振技术诊断。比对分析两组诊断结果和诊断准确率。 结果 观察组分期股骨头坏死诊断率(86.67%、100.00%、100.00%、100.00%)相较于对照组(66.67%、75.00%、71.43%、73.33%)均呈现显著优越性(χ2=3.076、3.076、3.324、3.324，P<0.05);且总准确率(96.43%)相较于对照组(71.43%)也呈现显著优越性(χ2=3.915，P<0.05)。 结论 股骨头坏死疾病诊断中应用核磁共振技术准确率明显高于CT。
[关键词] 股骨头坏死;核磁共振技术;CT诊断;临床价值
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(a)-0180-03
The Clinical Value of MRI and CT in the Diagnosis of Femoral Head Necrosis
HAN Yi-da
Department of Imaging， People's Hospital of Yangzhong， Yangzhong， Jiangsu Province， 212200 China
[Abstract] Objective To explore the clinical value of MRI and CT in the diagnosis of femoral head necrosis. Methods Conveninet select 112 patients with femoral head necrosis treated in the hospital from August 2018 to October 2019 were taken as subjects. Based on the random number table method， the control and observation groups were divided into two groups， each with 56 cases. The control group was diagnosed by CT， and the observation group was diagnosed by MRI technology. Compare and analyze the diagnosis results and diagnosis accuracy of the two groups. Results The diagnosis rate of femoral head necrosis in the observation group (86.67%，100.00%， 100.00%， 100.00%) was significantly superior to that of the control group (66.67%， 75.00%， 71.43%， 73.33%) (χ2=3.076，3.076，3.324，3.324，P<0.05); and the total accuracy rate (96.43%) was also significantly superior to the control group (71.43%)(χ2=3.915，P<0.05). Conclusion The accuracy of MRI in the diagnosis of femoral head necrosis is significantly higher than that of CT.
[Key words] Femoral head necrosis; MRI technology; CT diagnosis; Clinical value
股骨頭坏死是临床常见疾病，该病治疗难度大、发病率较高，常年来严重威胁着我国居民的生命安全健康[1-3]。临床研究显示，股骨头坏死发病原因较多，多数患者因股骨头供血不足或破坏，导致股骨头缺血坏死[4]。该症患者在临床常多伴有髋关节阵发性疼痛和酸涩，尤其是在站立或行走时疼痛更为剧烈。同时，股骨头患者髋关节活动受限严重，不仅会造成肌肉萎缩情况加剧，还会常伴下肢疼痛，导致患者无法正常行走和站立，加大患者痛苦。据大量研究证实，及时、有效的早期治疗是提高股骨头坏死治疗效果的关键，准确的早期临床诊断则显得更为重要[5]。该院特以2018年8月—2019年10月期间收治的112例股骨头坏死患者为对象，开展了就核磁共振技术与CT应用于股骨头坏死诊断中的临床价值的专项研究，现报道如下。
1 对象与方法
1.1 研究对象
方便选择其中在该院接受诊断的112例股骨头坏死患者作为研究对象。基于随机数字表法，均分成立对照与观察组两组，每组56例。对照组中男性患者20例，女性患者36例;年龄为36～72岁，平均年龄为(52.14±5.03)岁;病程为0.5～4年，平均病程为(2.7±0.5)年。观察组中男性患者22例，女性患者34例;年龄为36～71岁，平均年龄为(53.20±4.89)岁;病程为0.5～4年，平均病程为(2.6±0.6)年。所有入选对象均经临床诊断为股骨头坏死，且均经手术探查确诊两组股骨头坏死分期均为I期15例、II期12例、III期14例、IV期15例。该次研究涉及内容也报备医院伦理委员会并征得同意。对象分组后就基础资料对比差异无统计学意义(P>0.05)，均衡可比。, http://www.100md.com(韩易达)
[关键词] 股骨头坏死;核磁共振技术;CT诊断;临床价值
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(a)-0180-03
The Clinical Value of MRI and CT in the Diagnosis of Femoral Head Necrosis
HAN Yi-da
Department of Imaging， People's Hospital of Yangzhong， Yangzhong， Jiangsu Province， 212200 China
[Abstract] Objective To explore the clinical value of MRI and CT in the diagnosis of femoral head necrosis. Methods Conveninet select 112 patients with femoral head necrosis treated in the hospital from August 2018 to October 2019 were taken as subjects. Based on the random number table method， the control and observation groups were divided into two groups， each with 56 cases. The control group was diagnosed by CT， and the observation group was diagnosed by MRI technology. Compare and analyze the diagnosis results and diagnosis accuracy of the two groups. Results The diagnosis rate of femoral head necrosis in the observation group (86.67%，100.00%， 100.00%， 100.00%) was significantly superior to that of the control group (66.67%， 75.00%， 71.43%， 73.33%) (χ2=3.076，3.076，3.324，3.324，P<0.05); and the total accuracy rate (96.43%) was also significantly superior to the control group (71.43%)(χ2=3.915，P<0.05). Conclusion The accuracy of MRI in the diagnosis of femoral head necrosis is significantly higher than that of CT.
[Key words] Femoral head necrosis; MRI technology; CT diagnosis; Clinical value
股骨頭坏死是临床常见疾病，该病治疗难度大、发病率较高，常年来严重威胁着我国居民的生命安全健康[1-3]。临床研究显示，股骨头坏死发病原因较多，多数患者因股骨头供血不足或破坏，导致股骨头缺血坏死[4]。该症患者在临床常多伴有髋关节阵发性疼痛和酸涩，尤其是在站立或行走时疼痛更为剧烈。同时，股骨头患者髋关节活动受限严重，不仅会造成肌肉萎缩情况加剧，还会常伴下肢疼痛，导致患者无法正常行走和站立，加大患者痛苦。据大量研究证实，及时、有效的早期治疗是提高股骨头坏死治疗效果的关键，准确的早期临床诊断则显得更为重要[5]。该院特以2018年8月—2019年10月期间收治的112例股骨头坏死患者为对象，开展了就核磁共振技术与CT应用于股骨头坏死诊断中的临床价值的专项研究，现报道如下。
1 对象与方法
1.1 研究对象
方便选择其中在该院接受诊断的112例股骨头坏死患者作为研究对象。基于随机数字表法，均分成立对照与观察组两组，每组56例。对照组中男性患者20例，女性患者36例;年龄为36～72岁，平均年龄为(52.14±5.03)岁;病程为0.5～4年，平均病程为(2.7±0.5)年。观察组中男性患者22例，女性患者34例;年龄为36～71岁，平均年龄为(53.20±4.89)岁;病程为0.5～4年，平均病程为(2.6±0.6)年。所有入选对象均经临床诊断为股骨头坏死，且均经手术探查确诊两组股骨头坏死分期均为I期15例、II期12例、III期14例、IV期15例。该次研究涉及内容也报备医院伦理委员会并征得同意。对象分组后就基础资料对比差异无统计学意义(P>0.05)，均衡可比。, http://www.100md.com(韩易达)