摘要
目的分析比较早期股骨头缺血坏死的x线与CT影像诊断。方法从2017年1月—2018年1月在该院治疗早期股骨头缺血性坏死的患者中根据盲选的方法从中方便选择80例进行分析比较,根据诊断的方法并随机分组为对照组(n=40)和观察组(n=40)。对照组运用X线平片进行诊断,而观察组则是运用CT进行诊断。对比两组之间确诊的概率。结果CT检查组37.50%明显高于X线平片组30.00%,差异有统计学意义(χ2=5.349,P<0.05);X线平片组、CT检查组2期确诊率、3期确诊率25.00%、30.00%,7.50%、12.50%对比差异无统计学意义(χ2=1.000、0.521,P>0.05).CT总确诊率80.00%明显高于X线平片组62.50%,差异有统计学意义(χ2=18.286,P<0.05)。结论CT检查总诊断符合率高于X线平片,具有显著的准确度,可作为诊断早期股骨头缺血性坏死的常用方法,具有临床应用推广价值。
Objective To investigate the diagnostic value of X-ray plain film and CT imaging in early avascularnecrosis of the femoral head.Methods Convenient select seventy patients with early avascular necrosis of the femoral head admitted to our hospital(January 2017 to January 2018)were enrolled in this study.All 80 subjects in this group underwent X-ray and CT imaging.Two diagnostic methods for the diagnosis of different stages of avascular necrosis of the femoral head.Results The coincidence rate of CT diagnosis between the CT group 37.50%was significantly higher than 30.00%of X-ray plain film group,the difference was significant(χ2=5.349,P<0.05);X-ray plain film group,CT examination group II stage diagnostic coincidence rate,coincidence rate of stage III diagnosis was 25.00%,30.00%,7.50%,12.50%.The difference was not obvious,and there was no statistical significance(χ2=1.000,0.521,P>0.05).The diagnostic coincidence rate was 80.00%,which was significantly higher than that of the X-ray plain film group(62.50%).The difference was significant(χ2=18.286,P<0.05).Conclusion The clinical effect of CT diagnosis of early avascular necrosis of is much better than X-rays,with high accuracy,it can be used as a common method for early diagnosis of avascular necrosis.
作者
陈恩赐
CHEN En-ci(Department of Radiology,Changle District Hospital,Changle,Fujian Province,350200 China)
出处
《中外医疗》
2019年第33期190-192,共3页
China & Foreign Medical Treatment
关键词
早期
股骨头缺血坏死
X线平片
CT
影像诊断效果
Early
Avascular necrosis of the femoral head
X-ray film
CT
Diagnostic value of imaging
