摘要
目的 分析糖尿病足患者应用数字X线摄影术(digital radiography, DR)、CT和核磁共振成像技术(magnetic resonance imaging, MRI)的诊断价值。方法 选取2022年1月-2023年1月联勤保障部队第910医院接诊的87例糖尿病足患者和87例单纯糖尿病患者,均提供DR、CT和MRI诊断,分析3种诊断方式在糖尿病足中的诊断效果。结果 MRI诊断糖尿病足的灵敏度、特异度及准确度均高于DR、CT诊断,差异有统计学意义(P<0.05)。临床综合诊断有85例骨质疏松、25例骨端骨质破坏、72例软组织肿胀、85例血管壁钙化、13例神经性骨关节病,MRI诊断对于骨质疏松、骨端骨质破坏、软组织肿胀、血管壁钙化的诊断符合率高于DR、CT,差异有统计学意义(P<0.05)。结论 糖尿病足患者应用DR诊断、CT诊断和MRI诊断均可以得到理想诊断效果,但其中MRI的诊断效果更佳。
Objective To analyze the diagnostic value of application of digital radiography(DR),CT and magnetic resonance imaging(MRI)in patients with diabetic foot.Methods 87 patients with diabetes foot and 87 patients with simple diabetes who were treated in the 910th Hospital of the Joint Support Force from January 2022 to January 2023 were selected,all of whom provided DR,CT and MRI diagnosis,and analyzed the diagnostic effect of three diagnostic methods in diabetes foot.Results The sensitivity,specificity and accuracy of MRI in the diagnosis of diabetes foot were higher than those of DR and CT,the difference was statistically significant(P<0.05).Based on clinical compre-hensive diagnosis,there were 85 cases of osteoporosis,25 cases of bone destruction,72 cases of soft tissue swelling,85 cases of vascular wall calcification,and 13 cases of neurogenic osteoarthropathy.The diagnostic accuracy of MRI for osteoporosis,bone destruction,soft tissue swelling,and vascular wall calcification were higher than those of DR and CT diagnosis,the difference was statistically significant(P<0.05).Conclusion The application of DR diagnosis,CT diagnosis and MRI diagnosis in diabetic foot patients can get ideal diagnostic effect,but the diagnostic effect of MRI is better.
作者
邓娜
王成立
章思竹
林雅萍
DENG Na;WANG Chengli;ZHANG Sizhu;LIN Yaping(Department of Medical Imaging,910th Hospital of the United Logistics Force,Quanzhou,Fujian Province,362000 China;Department of Diagnostic Radiology,910th Hospital of the United Logistics Force,Quanzhou,Fujian Province,362000 China)
出处
《糖尿病新世界》
2023年第17期170-173,共4页
Diabetes New World Magazine
