中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
CHINESE JOURNAL OF CT AND MRI
2015年
9期
29-32
,共4页
骨关节病变%螺旋CT二维重建%三维重建%诊断价值
骨關節病變%螺鏇CT二維重建%三維重建%診斷價值
골관절병변%라선CT이유중건%삼유중건%진단개치
Joint Lesions%Spiral CT Two-dimensional Reconstruction%3d Reconstruction%Diagnostic Value
目的：研究螺旋CT二维重建及三维重建在骨关节病变中的诊断价值。方法回顾性分析从2013年8月-2015年4月在我科收治的骨关节病变患者98例。对患者先行X线平片进行检查(对照组)，之后实施螺旋CT二维重建与三维重建检查(观察组)，对比两组诊断价值。结果观察组股骨头坏死41.84%、半月板撕裂伤24.49%、骨性关节炎32.65%、关节病变18.37%的检出率均分别显著高于对照组的25.51%、13.27%、18.37%、7.14%，差异均有统计学意义(均P＜0.05)。观察组对骨关节病变检查漏诊率2.04%、误诊率0.00%，显著低于对照组的9.18%、5.10%，差异均有统计学意义(均P＜0.05)。观察组检查骨关节病变的敏感度86.73%及特异性89.80%均分别显著高于对照组的68.37%、76.53%，差异均有统计学意义(均P＜0.05)。观察组单病灶检出率45.92%、多病灶检出率52.04%均分别明显高于对照组的30.61%、34.69%，差异均有统计学意义(均P＜0.05)。结论螺旋CT二维重建及三维重建技术具有高敏感度、特异性特点，运用于骨关节病变中能明显提高病变检出率，为临床提供精准诊断信息，安全性高，值得推荐。
目的：研究螺鏇CT二維重建及三維重建在骨關節病變中的診斷價值。方法迴顧性分析從2013年8月-2015年4月在我科收治的骨關節病變患者98例。對患者先行X線平片進行檢查(對照組)，之後實施螺鏇CT二維重建與三維重建檢查(觀察組)，對比兩組診斷價值。結果觀察組股骨頭壞死41.84%、半月闆撕裂傷24.49%、骨性關節炎32.65%、關節病變18.37%的檢齣率均分彆顯著高于對照組的25.51%、13.27%、18.37%、7.14%，差異均有統計學意義(均P＜0.05)。觀察組對骨關節病變檢查漏診率2.04%、誤診率0.00%，顯著低于對照組的9.18%、5.10%，差異均有統計學意義(均P＜0.05)。觀察組檢查骨關節病變的敏感度86.73%及特異性89.80%均分彆顯著高于對照組的68.37%、76.53%，差異均有統計學意義(均P＜0.05)。觀察組單病竈檢齣率45.92%、多病竈檢齣率52.04%均分彆明顯高于對照組的30.61%、34.69%，差異均有統計學意義(均P＜0.05)。結論螺鏇CT二維重建及三維重建技術具有高敏感度、特異性特點，運用于骨關節病變中能明顯提高病變檢齣率，為臨床提供精準診斷信息，安全性高，值得推薦。
목적：연구라선CT이유중건급삼유중건재골관절병변중적진단개치。방법회고성분석종2013년8월-2015년4월재아과수치적골관절병변환자98례。대환자선행X선평편진행검사(대조조)，지후실시라선CT이유중건여삼유중건검사(관찰조)，대비량조진단개치。결과관찰조고골두배사41.84%、반월판시렬상24.49%、골성관절염32.65%、관절병변18.37%적검출솔균분별현저고우대조조적25.51%、13.27%、18.37%、7.14%，차이균유통계학의의(균P＜0.05)。관찰조대골관절병변검사루진솔2.04%、오진솔0.00%，현저저우대조조적9.18%、5.10%，차이균유통계학의의(균P＜0.05)。관찰조검사골관절병변적민감도86.73%급특이성89.80%균분별현저고우대조조적68.37%、76.53%，차이균유통계학의의(균P＜0.05)。관찰조단병조검출솔45.92%、다병조검출솔52.04%균분별명현고우대조조적30.61%、34.69%，차이균유통계학의의(균P＜0.05)。결론라선CT이유중건급삼유중건기술구유고민감도、특이성특점，운용우골관절병변중능명현제고병변검출솔，위림상제공정준진단신식，안전성고，치득추천。
Objective To study diagnosis value contrast of Spiral CT two-dimensional reconstruction and three-dimensional reconstruction for the bone joint disease. Methods Retrospective analysis from August 2013 to April 2015, 98 cases of bone joint disease patients admitted in our department. Inspection on patients was first with X-ray plain film (control group), then with the spiral CT two-dimensional reconstruction and three-dimensional reconstruction (observation group), compared with the diagnosis value. Results The observation group of femoral head necrosis 41.84%, meniscus tear24.49%, osteoarthritis 32.65%, joint disease 18.37%detection rate was significantly higher than the control group of 25.51%, 13.27%, 18.37%, 7.14%, had statistically significant differences (all P<0.05). Observation group for joint disease's rate of leakage diagnosis 2.04%, misdiagnosis 0.00%, was significantly lower than the control group were 9.18%, 5.10%, which were statistically significant differences (all P<0.05). Observation group check especially the sensitivity of 86.73% and specificity 89.80% was significantly higher than the control group 68.37%, and 68.37%, which were statistically significant differences (all P<0.05). Observation group's single lesion detection rate 45.92%, lesion detection rate 52.04%was significantly higher than the control group of 30.61%and 30.61%, which were statistically significant differences (all P<0.05). Conclusion Spiral CT two-dimensional reconstruction and three-dimensional reconstruction technique has the characteristics of sense of high sensitivity, specificity, applied to joint pathological changes can be obviously improved lesion detection rate, provide accurate diagnostic information for clinical. It has high security, is worth to recommend.
