CAJ | 학술논문

目的：探讨股骨头坏死患者CT与核磁共振的临床判断价值。方法选用我院于2013年6月～2014年2月间收治的股骨头坏死患者60例（118髋），将其随机分为观察A组和观察B组各30例（分别为58髋、60髋）。其中A组患者给予核磁共振（MRI）髋关节影像学检查，B组患者给予CT髋关节影像学检查。对比分析两组股骨头坏死的影像学表现与股骨头坏死检出率。结果118例可疑股骨头中，A组经MRI检查发现的股骨头坏死患者27例，检出率为90.00%，B组经CT检查发现的股骨头坏死患者18例，检出率为60.00%，二者差异具有统计学意义（P<0.05）。结论在股骨头坏死患者的临床诊断中，采用核磁共振检查与CT检查相比较的方法，发现MRI检测股骨头坏死检出率高，诊断早期ANFH效果较好。
목적：탐토고골두배사환자CT여핵자공진적림상판단개치。방법선용아원우2013년6월～2014년2월간수치적고골두배사환자60례（118관），장기수궤분위관찰A조화관찰B조각30례（분별위58관、60관）。기중A조환자급여핵자공진（MRI）관관절영상학검사，B조환자급여CT관관절영상학검사。대비분석량조고골두배사적영상학표현여고골두배사검출솔。결과118례가의고골두중，A조경MRI검사발현적고골두배사환자27례，검출솔위90.00%，B조경CT검사발현적고골두배사환자18례，검출솔위60.00%，이자차이구유통계학의의（P<0.05）。결론재고골두배사환자적림상진단중，채용핵자공진검사여CT검사상비교적방법，발현MRI검측고골두배사검출솔고，진단조기ANFH효과교호。
Objective To investigate the clinical value on patients with avascular necrosis of femoral head by CT and MRI. Methods 60 patients treated in our hospital with avascular necrosis of femoral head were selected from June 2013 to February 2014,who were divided into group A and group B randomly,30 cases in each group. A group with magnetic resonance imaging(MRI)examination,B group with CT. Results 118 cases of suspected femoral head,27 cases of avascular necrosis of femoral head were found in group A,the detection rate was 90%,18 cases of avascular necrosis of femoral head were found in group B,the detection rate was 60%. There was significant difference(P<0.05). Conclusion In the clinical diagnosis of patients with avascular necrosis of femoral head,after comparing between MRI and CT examination,MRI has high detection rate,and better diagnosis of early ANFH.