X线检查在内分泌骨关节病中诊断价值分析.docVIP

X线检查在内分泌骨关节病中诊断价值分析 　　[摘要] 目的 探讨分析X线检查在内分泌骨关节病中的诊断价值。方法 分析2011年1月―2013年12月该院收治的内分泌骨关节病患132例根据随机数字表的方法分为两组。其中治疗组患者实施X线检查，对照组患者使用CT检查。 结果 治疗组患者漏诊为2例，其诊断率为96.97%（64/66）。对照组患者漏诊为10例，其诊断率为84.84%（56/66）。两组患者诊断正确率相比具有较大差异性，且差异有统计学意义（P0.05）。治疗组患者的关节积液检测率为31.82%显著高于对照组的15.16%，其差异有统计学意义（P0.05）。结论 在临床诊断内分泌骨关节病中，通过较为系统、仔细的X线检查可以提供出较为确切的诊断，从而为临床诊治提供出更加有力的依据，值得在临床诊治内分泌骨关节病中大力推广使用。 　　[关键词] X线检查；内分泌骨关节病；诊断价值 　　[中图分类号] R681.5 [文献标识码] A [文章编号] 1674-0742（2014）08（b）-0040-03 　　[Abstract] Objective To analyze and study the value of X-ray examination in the diagnosis of endocrine osteoarthritis. Methods 132 cases with endocrine osteoarthritis admitted in our hospital from January 2011 to December 2013 were divided into two groups according to the random number table. Patients in the treatment group underwent X-ray examination and patients in the control group underwent CT examination. Results There were 2 cases of missed diagnosis in the treatment group， the diagnosis rate was 96.97%（64/66）， while in the control group， there were 10 cases of missed diagnosis， the diagnosis rate was 84.84%（56/66）. The difference in the diagnostic accuracy between the two groups was statistically significant（P0.05）. The detection rate of joint effusion in the treatment group was 31.82%， significantly higher than 15.16% of the control group， the difference was statistically significant（P0.05）. Conclusion For clinical diagnosis of endocrine osteoarthritis， systematic and careful X-ray examination can provide a more precise diagnosis as a more strong evidence for the clinical diagnosis and treatment of the disease， which is worthy of vigorous promotion and application. 　　[Key words] X-ray examination； Endocrine osteoarthritis； Diagnostic value 　　骨关节病是退行性病变的一种，其与劳损、肥胖、增龄、创伤、关节畸形以及关节先天性异常等众多因素有着非常密切的关系，是由于这些因素而引发出来的关节软骨退化、关节边缘与软骨下骨反应性增生、损伤等，在临床中通常表现为压痛、关节疼痛、关节肿胀、僵硬、关节畸形以及活动受限等[1]。内分泌骨关节是骨关节病的一种，是一种继发性骨关节炎。该研究对X线检查在内分泌骨关节病中的诊断价值进行了分析与研究探讨，并将该院2011年1月―2013年12月期间收治的132例内分泌骨关节患者作为研究对象，旨在研究X线检查的诊断价值，从而为医护人员的下一