磁共振扫描采用Argus和人工法测量股骨头坏死面积的对比研究.pdfVIP

磁共振扫描采用 Argus和人工法测量 股骨头坏死面积的对比研究 董玉茹，王 宏，冯 虎，穆学涛，马 毅，李 娜，刘 勉 [ 摘要 ] 目的：对比分析磁共振扫描采用 Argus法和人工法测量股骨头坏死面积的准确性和时效性，以探讨 Argus测 量法的临床应用优势。方法：对某院收治的 17例（31髋）股骨头坏死患者的坏死面积分别进行 Argus法和人工法测 量，比较测量结果及所需时间，同时考察 2种评定结果与患者疼痛程度及股骨头塌陷程度的相关性。结果：人工法和 Argus法所测得的股骨头坏死面积比分别为（33.5±4.08）%和（34.6±4.06）%，2组结果之间无统计学差异（P0.05）；人工 法耗时显著长于 Argus法（（21.3±3.62）min（7.89±1.03）min，P0.001）。经回归分析，2组坏死面积均与患者疼痛程度 呈直线正相关，但 Argus法所得数据相关系数大于人工法（0.807 80.746 9）；此外，随访期发生股骨头塌陷 11例（16 髋），2组坏死面积均与患者的塌陷程度呈直线正相关，但 Argus法所得数据相关系数大于人工法（0.783 80.726 7）。 结论：磁共振扫描采用 Argus法测量股骨头坏死面积的精确度和时效性高，值得在临床推广。 [ 关键词 ] 磁共振扫描；Argus；人工法；股骨头坏死面积 [ 中国图书资料分类号 ] R318；R445.2 [文献标志码] A [文章编号] 1003 8868（2015）05 0070 04 DOI ： 10.7687/J.ISSN1003 8868.2015.05.070 Comparative study on Argus and artificial methods for MRI scanning of femoral head necrosis area DONG Yu ru 1 , WANG Hong 1 , FENG Hu 2 , MU Xue tao 1 , MA Yi 1 , LI Na 1 , LIU Mian 1 (1. Department of MRI, General Hospital of CAPF, Beijing 100039, China; 2. No.1 Department of Orthopedics, General Hospital of CAPF, Beijing 100039, China) Abstract To explore the advantages of Argus method by comparing the accuracy and timeliness of Argus and artificial methods for measuring femoral head necrosis area in MRI scanning. Totally 17 patients (31 hips) were measured with Argus and artificial methods respectively for the necrosis area, and then the measuring results and time were compared, and the correlation was investigated between the results and the patients pain degree, along with that be tween the results and the extent of femoral head collapse. The necrosis area ratios determined by Argus and arti ficial methods were (33.5±4.08)% and (34.6±4.06)% respectively, with no statistical difference between the ratios (P0.05). The time consumed by artificial method was (21.3±3.62)min, significantly longer than (7.89±1.03)min by Argus method, with P0.001. Regression analysis proved that the necrosis areas were positively correlated with the patients pain degree, and the correlation coefficient b