MRI与X线诊断急性化脓性骨髓炎临床对比研究.docVIP

精品论文 参考文献 MRI与X线诊断急性化脓性骨髓炎临床对比研究 四川省汉源县中医医院 625302 　　摘要：目的：对比研究MRI和X线于急性化脓性骨髓炎临床诊断的价值。方法：随机选取我院2013年5月-2016年7月诊断的急性化脓性骨髓炎患者90例，分别对其进行X线和MRI诊断，将诊断结果进行分类整理分析。结果：常规X线检查90例患者均显示阴性正常；而MRI检查常规序列检查T1加权像显示等信号或者稍低信号，T2加权像显示不规则改变的信号（大部分为等信号或者高信号），低信号的骨皮质边缘可见稍高条状信号；STIR序列下检查显示片状不规则高信号，范围明显于常规序列，软组织病变为模糊片状，骨膜显示为条状高信号；X线灵敏度为38.89%，MRI灵敏度为82.22%，两者差异P＜0.05，具有统计学意义；经统计X线检查花费为（160.1plusmn;28.6）元，MRI检查花费为（768.21plusmn;108.1）元，MRI检查花费显著高于X线检查，差异P＜0.05，具有统计学意义。结论：MRI能有效显示急性骨髓炎患者软组织及骨髓病变，有利于急性骨髓炎患者的早期诊断治疗，但检查费用相对较高。 　　关键词：MRI；X线；急性化脓性骨髓炎；临床诊断 　　Clinical comparison of MRI and X - ray in the diagnosis of acute suppurative osteomyelitis 　　Yang Yunbo 　　Hanyuan County Chinese Medicine Hospital Of Sichuan 625302 　　[Abstract]Objective：To compare the value of MRI and X-ray in the clinical diagnosis of acute suppurative osteomyelitis. Methods：Randomly selected from our hospital in May 2013 - July 2016 in the diagnosis of 90 cases of patients with acute suppurative osteomyelitis，respectively on the X-ray and MRI diagnosis，the diagnosis results for sorting analysis. Results：Routine X-ray examination of 90 patients showed negative normal；and routine examination of T1-weighted MRI showed equal signal or slightly lower signal，T2-weighted images showed irregular changes in the signal（mostly iso-signal or high signal）， Slice STIR sequence under examination showed irregular high signal，scope of the conventional sequence obviously，soft tissue lesion for fuzzy flake，periosteum displayed as strip high signal；X-ray sensitivity was 38.89%，the sensitivity of MRI was 82.22%，the difference was P lt;0.05，statistically significant；Through X-ray cost is（160.1 + 28.6）yuan，MRI cost is（768.21 + 108.1）yuan，MRI is significantly higher than X-ray，the difference P lt;0.05，with statistical significance. Conclusion：MRI can effectively display acute osteomyelitis patients with soft tissue and bone marrow lesions，with early diagnosis and treatment of patients with acute osteomyelitis to check，but the examination costs are