中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
29期
106-107
,共2页
早期股骨头缺血坏死%CT%磁共振%成像诊断研究
早期股骨頭缺血壞死%CT%磁共振%成像診斷研究
조기고골두결혈배사%CT%자공진%성상진단연구
Early avascular necrosis of the femoral head%CT%Magnetic resonance%Study on imaging diagnosis
目的：探讨早期股骨头缺血坏死的CT与磁共振成像诊断效果及意义。方法：2009年1月-2012年12月收治早期股骨头缺血坏死患者32例，回顾性将其CT与磁共振两种诊断的结果进行对比，并依据临床各类数据分析CT与磁共振在诊断早期股骨头缺血坏死中的各自临床特点。结果：32例早期股骨头缺血坏死患者经CT、磁共振检查， CT敏感性84.37%，特异性71.87%，MRI敏感性96.87%，特异性90.62%。结论：CT和磁共振是不同的两种检查手段，对于早期股骨头缺血坏死，CT在骨质结构检查方面好，利于分期；而磁共振扫描切面的选择方式可以是任意的，能够很好地看出股骨头坏死组织学变化的过程，是早期股骨头坏死诊断的有效方法，临床诊断准确率高于CT。
目的：探討早期股骨頭缺血壞死的CT與磁共振成像診斷效果及意義。方法：2009年1月-2012年12月收治早期股骨頭缺血壞死患者32例，迴顧性將其CT與磁共振兩種診斷的結果進行對比，併依據臨床各類數據分析CT與磁共振在診斷早期股骨頭缺血壞死中的各自臨床特點。結果：32例早期股骨頭缺血壞死患者經CT、磁共振檢查， CT敏感性84.37%，特異性71.87%，MRI敏感性96.87%，特異性90.62%。結論：CT和磁共振是不同的兩種檢查手段，對于早期股骨頭缺血壞死，CT在骨質結構檢查方麵好，利于分期；而磁共振掃描切麵的選擇方式可以是任意的，能夠很好地看齣股骨頭壞死組織學變化的過程，是早期股骨頭壞死診斷的有效方法，臨床診斷準確率高于CT。
목적：탐토조기고골두결혈배사적CT여자공진성상진단효과급의의。방법：2009년1월-2012년12월수치조기고골두결혈배사환자32례，회고성장기CT여자공진량충진단적결과진행대비，병의거림상각류수거분석CT여자공진재진단조기고골두결혈배사중적각자림상특점。결과：32례조기고골두결혈배사환자경CT、자공진검사， CT민감성84.37%，특이성71.87%，MRI민감성96.87%，특이성90.62%。결론：CT화자공진시불동적량충검사수단，대우조기고골두결혈배사，CT재골질결구검사방면호，리우분기；이자공진소묘절면적선택방식가이시임의적，능구흔호지간출고골두배사조직학변화적과정，시조기고골두배사진단적유효방법，림상진단준학솔고우CT。
Objective:To investigate the effect and significance of CT magnetic resonance imaging in the diagnosis of early avascular necrosis of the femoral head.Methods:32 patients with early avascular necrosis of the femoral head were selected from January 2009 to December 2012.We retrospectivly compared the diagnostic results between CT and MRI,and analyzed the clinical features of CT and MRI in the diagnosis of early avascular necrosis of femoral head based on the clinical data.Results:32 cases of early avascular necrosis of the femoral head were treated by CT and MRI.The CT sensitivity was 84.37%;the specificity was 71.87%;the MRI sensitivity was 96.87%;the specificity was 90.62%.Conclusion:CT and MRI are two different examination methods.For the early avascular necrosis of the femoral head,CT examination can show bone structure,conducive to the better choice and staging.The magnetic resonance scanning section can be arbitrary.It can be better to see the process of changes of femoral head necrosis of tissue.So it is the effective method for the diagnosis of early avascular necrosis of the femoral head,and the diagnosis accurate rate is higher than CT.
